Mangum, Nicole J

Mangum, Nicole J is an individual health care provider with primary practice located at 7557 Rambler Rd Suite 740, Dallas TX 75231-4142. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Mangum, Nicole J can be contacted via phone (214) 361-2100.

Contact Information

Primary practice address
7557 Rambler Rd Suite 740 Dallas TX 75231-4142
Phone: (214) 361-2100
Fax: (214) 361-2145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 33427 Texas
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1790727451
LBN Legal business name Mangum, Nicole J
Credentials PH. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Jul 17th, 2019 - about 5 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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