Dr. Alice Varley Mangan, Ph.D.
Psychologist in New York, NY. Individual provider (NPI-1).
NPI number1669904231
StatusActive
Last updated in NPPESApr 1, 2017
Details
- NPI
- 1669904231
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alice Varley Mangan
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 1, 2017
- Last updated
- Apr 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 022054-1 | NY | Yes |
Practice location
175 W 13th St1b
New York, NY 10011-7855
Phone 917-922-1718
Mailing address
175 W 13th St1b
New York, NY 10011-7855
Phone 917-922-1718
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