Individual
DR. GAIL M MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
424 FREDERICK AVE, SEWICKLEY, PA 15143-1523
(412) 741-4087
(412) 741-6808
Mailing address
424 FREDERICK AVE, SEWICKLEY, PA 15143-1523
(412) 741-4087
(412) 741-6808
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS008769
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000028065
BLUE CROSS BLUE SHIELD
PA
05
—
1025743530001
—
PA
Enumeration date
10/03/2006
Last updated
04/09/2014
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