DR. Michael William Mangis, PH.D.

NPI #1063405249 in Elburn, Illinois

Provider Information

NPI Number: 1063405249
Entity Type: Individual
Name: DR. Michael William Mangis, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Aug 23, 2005
Last Updated: Jan 31, 2008

Practice Location

Address: 106 W PIERCE ST
City: Elburn
State: Illinois
ZIP Code: 60119-8201
Phone: (630) 365-0899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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