Provider Demographics
NPI:1336283852
Name:MANCINI, DANTE EMMANUEL (PHD)
Entity Type:Individual
Prefix:
First Name:DANTE
Middle Name:EMMANUEL
Last Name:MANCINI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 ALLEGHENY RIVER BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-1648
Mailing Address - Country:US
Mailing Address - Phone:412-992-8923
Mailing Address - Fax:877-388-7871
Practice Address - Street 1:508 ALLEGHENY RIVER BLVD STE 206
Practice Address - Street 2:
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139-1648
Practice Address - Country:US
Practice Address - Phone:412-992-8923
Practice Address - Fax:866-388-7871
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015612103TC0700X
PAPS016229103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
1336283852OtherNPPES