Individual
DR. JOSEPH D MANGINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
571 HIGH ST STE 12, WORTHINGTON, OH 43085-4132
(413) 218-1105
(614) 591-0710
Mailing address
5040 FOREST DR, SUITE 210, NEW ALBANY, OH 43054-8167
(413) 218-1105
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
7134
MA
103TC1900X
Counseling Psychologist
Primary
7370
OH
103TC1900X
Counseling Psychologist
P.7370
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0174857
—
OH
Enumeration date
08/30/2006
Last updated
01/13/2021
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