Individual
RICHARD MANGANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
940 W KING RD, MALVERN, PA 19355-3166
(610) 647-0330
Mailing address
4218 GREENSPIRE LN, NEW HOPE, PA 18938-2302
(215) 514-4062
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-006800-L
PA
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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