Individual provider · Type 1 NPI

Nina Petit de Mange, PSY.D.

Clinical Psychologist · Carlsbad, CA

NPI number 1508025842 Active

Practice location

3150 El Camino Real
Carlsbad, CA 92008-2110

Call (760) 276-4606 Map

Fax (760) 276-4605

Mailing address

PO Box 131653
Carlsbad, CA 92013-1653

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY26000 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1508025842

Nina Petit de Mange, PSY.D.'s National Provider Identifier is 1508025842, issued on Jun 2, 2008. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Carlsbad, CA. The record was last updated on Dec 30, 2013.