DR. Jonathan Mangold, PHD
NPI #1447337597 in Zionsville, Indiana
Provider Information
- NPI Number
- 1447337597
- Entity Type
- Individual
- Name
- DR. Jonathan Mangold, PHD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PHD
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Jun 13, 2012
Practice Location
- Address
- 260 S 1ST ST
- Address 2
- S 1
- City
- Zionsville
- State
- Indiana
- ZIP Code
- 46077-1602
- Phone
- (317) 873-9573
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
| Psychologist - Clinical — Clinical |
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Organizations
| Provider Name | |
|---|---|
| Evergreen Psychological Services, LLC |
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