Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY MANGUM JR.
Active Sole ProprietorTIMOTHY MANGUM JR. is a School Psychologist healthcare provider located in SANDERSVILLE, Georgia. NPI 1902612468 is currently active in the NPPES registry. Verify at CMS.
School Psychologist · SANDERSVILLE, GA
Registration Details
- NPI Number
- 1902612468
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 9, 2024 (1.6940106602412 yrs)
- Last Updated
- Dec 9, 2024
- Licenses
-
1297566 (NC)324407 (SC)233771 (NV)1962506 (GA)72050 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
215 WESTLAKE DRSANDERSVILLE, GA, 310829427Browse GA providers · Browse ZIP 31082
- Phone
- 9198103283
- Primary Specialty
-
School Psychologist
103TS0200X
- Additional Specialty
- School Psychologist
- Additional Specialty
- School Psychologist
- Additional Specialty
- School Psychologist
- Additional Specialty
- School Psychologist
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.