Individual
DR. BRIAN MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., ABPP
Contact information
Practice address
9960 NW 116TH WAY STE 12, MEDLEY, FL 33178-1175
(305) 442-8800
(305) 442-4469
Mailing address
9960 NW 116TH WAY STE 12, MEDLEY, FL 33178-1175
(305) 442-8800
(305) 442-4469
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
7198
FL
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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