Cynthia Mangiola, MFTI
Individual provider Active NPI Marriage & Family Therapist · Prunedale, CA
NPI 1932525607 · NPPES record last updated Mar 5, 2014
Key facts
- NPI
- 1932525607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- IMF69105 (CA)
- Practice address
- 17782 Moro Rd
Prunedale, CA 93907-8961 - Phone
- (831) 915-5702
- NPI assigned
- Mar 5, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF69105 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF69105 | CA | Yes |
Addresses
Primary practice location
17782 Moro Rd
Prunedale, CA 93907-8961
Mailing address
25540 Whip Rd
Monterey, CA 93940-6623
Phone (831) 915-5702
Other providers in Prunedale, CA
- Alim Alusine Ibrahim
- Alexander Albert Jaque
- Lucas Jared Johnson
- Mark Juarez
- Briana Lawson
- Jessica Mattos
- Katherin Mendoza
- Jennah Montemayor
- Steven James Moran
- Michael Christopher Nease
All providers in Prunedale, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.