Healthcare Provider Details

I. General information

NPI: 1861233561
Provider Name (Legal Business Name): HILLARY ANNE MANGIS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2024
Last Update Date: 06/05/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 WATERDAM PLAZA DR STE 240
MC MURRAY PA
15317-5411
US

IV. Provider business mailing address

830 WESTERN AVE
PITTSBURGH PA
15233-1772
US

V. Phone/Fax

Practice location:
  • Phone: 412-856-9355
  • Fax:
Mailing address:
  • Phone: 412-322-2129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: