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DAVID VICTOR MANDICH PSYD

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1073028783

Individual Registrant:
 DAVID VICTOR MANDICH PSYD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1 WARRIOR WAY STE 103  BELLE, WV 25015-1356 US
Tel: 304-949-3591  Fax: 304-949-3791

Contact information for business:
1 WARRIOR WAY STE 103  BELLE, WV 25015-1356 US
Tel: 304-949-3591  Fax: 304-949-3791

Registration Information:
NPI: 1073028783
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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