Most Relevant Information
Provider Data
| NPI Number: | 1003387564 |
| Provider Name: | MICHAEL EDWARD MANDEL |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | LC9114 |
Most Important Dates
| Enumeration Date: | 12/10/2018 |
| Last Updated: | 12/10/2018 |
Provider Practice Location
1129 BUSINESS PKWY S STE A
WESTMINSTER
MD
211573004
Practice Location Phone/Fax
| Phone: | 6676002860 |
| Fax: |
Provider Mailing Location
1129 BUSINESS PKWY S STE A
WESTMINSTER
MD
211573004
Provider Mailing Phone/Fax
| Phone: | 6676002860 |
| Fax: |