Kanita Mangine
Mental Health
950 Campbell Ave
West Haven
, Connecticut 06516-2770
Kanita Mangine
Mental Health
950 Campbell Ave
West Haven
, Connecticut 06516-2770
(860) 731-5536
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About
Features
Specialties
- Mental Health
Languages spoken
- English
Location
First Address
- Kanita Mangine
- 2 Waterside Xing Ste 401
- Windsor, CT
- Zip : 06095-1587
- Fax : (860) 731-5536
- Phone : (860) 731-5522
Second Address
- Kanita Mangine
- 950 Campbell Ave
- West Haven, CT
- Zip : 06516-2770
- Phone : (203) 932-5711
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XM0800X | Mental Health | 5357 | CT |
National Provider Identifier
| NPI | 1598329666 |
|---|---|
| Provider Name | Kanita Mangine |
| First Address | Windsor, CT 06095-1587 |
| Second Address | West Haven, CT 06516-2770 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2019 |
| Last Update Date | 02/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.