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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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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