Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIKE L MANGUS
Active Sole ProprietorMIKE L MANGUS is a Speech-Language Pathologist healthcare provider located in CHICKASHA, Oklahoma. NPI 1588999064 is currently active in the NPPES registry. Verify at CMS.
Speech-Language Pathologist · CHICKASHA, OK
Registration Details
- NPI Number
- 1588999064
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2009 (16.64574081345 yrs)
- Last Updated
- Oct 16, 2009
- License
-
679 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
428 W GRAND AVECHICKASHA, OK, 730185865Browse OK providers · Browse ZIP 73018
- Phone
- 4052225555
- Fax
- 4052222028
- Primary Specialty
-
Speech-Language Pathologist
235500000X
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.