| Doctor Name: | JOHN MANGANARO |
| NPI Number: | 1043359516 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LICSW |
| License Number: | 1020693 |
| Business Practice Address: | 62 Derby St Suite 15 Hingham, MA - 020433728 |
| Business Phone Number: | 7813378217 |
| Business Fax Number: | |
| Mailing Address: | 88 Webb St, WEYMOUTH |
| State: | MA |
| Postal Code: | 021882720 |
| Phone Number: | 7813378217 |
| Fax Number: | |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1020693 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |