DR. RICHARD FRANCIS MANGOLD ED.D.
NPI 1417060492
Counselor - Professional in Ottawa, IL
Active since August 16, 2006
About Dr. Richard Francis Mangold Ed.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RICHARD FRANCIS MANGOLD ED.D. (NPI 1417060492) is an individual professional provider in Ottawa, Illinois and active in the NPI registry since August 2006.
NPPES Registry Identity
NPI1417060492
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. RICHARD FRANCIS MANGOLDCredential: ED.D.
Location Address2912 E 14TH RDOttawa, IL 61350-9526
Mailing Address2912 E 14th RdOttawa, IL 61350-9526 · (815) 343-1104
Phone(815) 343-1104
Sole ProprietorYes
Enumeration DateAugust 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417060492 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2912 E 14TH RD, Ottawa, IL 61350
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417060492, enumerated as an "individual" on August 16, 2006.
The provider is located at 2912 E 14TH RD OTTAWA, IL 61350 and the phone number is (815) 343-1104.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
