Individual
DR. ALICE VARLEY MANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
175 W 13TH ST, 1B, NEW YORK, NY 10011-7855
(917) 922-1718
Mailing address
175 W 13TH ST, 1B, NEW YORK, NY 10011-7855
(917) 922-1718
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
022054-1
NY
Other
Enumeration date
04/01/2017
Last updated
04/01/2017
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