DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LYN J. MANGIAMELI, PH.D.

Active Sole Proprietor

Clinical Neuropsychologist · SAN JOSE, CA

Registration Details

NPI Number
1134487333
Provider Type
Individual
Gender
Male
NPI Issued
Apr 25, 2012 (13.98980863601 yrs)
Last Updated
Jul 19, 2012
Licenses
PSY 25076 (CA)
PSY 25076 (CA)
PSY 25076 (CA)
PSY 25076 (CA)
Sole Proprietor
Yes

Practice Information

Address
320 S 3RD ST
SUITE 201
SAN JOSE, CA, 951123648
Browse CA providers · Browse ZIP 95112
Phone
4159996793
Fax
4087361272
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Neuropsychologist
Additional Specialty
Forensic Psychologist
Additional Specialty
Rehabilitation Psychologist

Other Clinical Neuropsychologist Providers in SAN JOSE, CA

Name Credential NPI
DR. GARY TERRELL MILES PH.D. 1275621468
DR. ROBERT GEORGE PEREZ PHD 1700943776
DAVID A SEVERIN PH.D. 1336271964
JAMES W. BRYANT PH.D. 1285751446
DR. SAMANTHA ANN DOWDALL PH.D. 1093996902
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.