Doctor Name: | DR. NADA ROSE MANGIALETTI |
NPI Number: | 1215005673 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PSY307 |
Business Practice Address: | 91-110 Hanua St #208a Kapolei, HI - 967071705 |
Business Phone Number: | 8086825808 |
Business Fax Number: | 8086825808 |
Mailing Address: | 91-110 Hanua St, #208a KAPOLEI |
State: | HI |
Postal Code: | 967071705 |
Phone Number: | 8086825808 |
Fax Number: | 8086825808 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 11/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | PSY307 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |