Individual
DR. TWYLA LUCINDA MANCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
2236 BEMISS RD, VALDOSTA, GA 31602-1942
(229) 474-9800
(912) 550-4166
Mailing address
2236 BEMISS RD, VALDOSTA, GA 31602-1942
(229) 474-9800
(912) 550-4166
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1181
OK
103T00000X
Psychologist
Primary
PSY003935
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003168093D
—
GA
05
—
003189481A
—
GA
Enumeration date
03/24/2014
Last updated
08/19/2021
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