Taylor Marie Mastin, PHD is a
Psychologist - Clinical based in Peterson Sfb, Colorado. Taylor Marie Mastin is licensed to practice in Colorado (license number PSY.0004473) and her current practice location is
559 Vincent St., Space Base Delta 1, Peterson Sfb, Colorado. She can be reached at her office (for appointments etc.) via phone at
(719) 556-4009.
NPI number for Taylor Marie Mastin is 1396985792 and her current mailing address is 559 Vincent St., Space Base Delta 1, Peterson Sfb, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396985792.
Healthcare Provider's Profile
Full Name | Taylor Marie Mastin |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 559 Vincent St., Peterson Sfb, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396985792
- Provider Enumeration Date: 02/24/2009
- Last Update Date: 01/18/2024
Medical Identifiers
Medical identifiers for Taylor Marie Mastin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396985792 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 15524-130 (Wisconsin) | Secondary |
103TC0700X | Psychologist - Clinical | PSY.0004473 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Taylor Marie Mastin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Taylor Marie Mastin, PHD 559 Vincent St., Space Base Delta 1, Peterson Sfb, CO 80914-1541 Ph: (719) 556-4009 | Taylor Marie Mastin, PHD 559 Vincent St., Space Base Delta 1, Peterson Sfb, CO 80914-1541 Ph: (719) 556-4009 |
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