Individual
JOHN MANGIARACINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
305 S PALM ST, LITTLE ROCK, AR 72205-5432
(501) 686-9406
(501) 686-9588
Mailing address
305 S PALM ST, LITTLE ROCK, AR 72205-5432
(501) 686-9406
(501) 686-9588
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
77-16P
AR
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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