Mangiameli, Lyn J.
Mangiameli, Lyn J. is an sole proprietor health care provider with primary practice located at 320 S 3Rd St Suite 201, San Jose CA 95112-3648. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Mangiameli, Lyn J. can be contacted via phone (415) 999-6793.Contact Information
Primary practice address
320 S 3Rd St Suite 201
San Jose CA 95112-3648
Phone: (415) 999-6793
Fax: (408) 736-1272
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 25076 | California |
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY 25076 | California |
Behavioral Health & Social Service Providers / Forensic | 103TF0200X | PSY 25076 | California |
Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | PSY 25076 | California |
Profile Details
NPI number | 1134487333 |
---|---|
LBN Legal business name | Mangiameli, Lyn J. |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 25th, 2012 |
Last updated | Jul 19th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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