Individual provider · Type 1 NPI

James Angelo Manganello, PhD

Health Service Psychologist · Lexington, MA

NPI number 1851454938 Active

Practice location

9 Grapevine Ave, Suite 2
Lexington, MA 02421-7062

Fax (781) 674-2450

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100XPY3212PR (MA)

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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About NPI 1851454938

James Angelo Manganello, PhD's National Provider Identifier is 1851454938, issued on Dec 19, 2006. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Lexington, MA. The record was last updated on Jul 8, 2007.