| Dr. Russell Masterson Pa | |
|
878 109th Ave N Naples FL 34108-1814 | |
| (239) 596-8416 | |
| Not Available |
| Full Name | Dr. Russell Masterson Pa |
|---|---|
| Speciality | Psychologist |
| Location | 878 109th Ave N, Naples, Florida |
| Authorized Official Name and Position | Russell W Masterson (OWNER) |
| Authorized Official Contact | 2395968416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Russell Masterson Pa 878 109th Ave N Naples FL 34108-1814 Ph: (239) 596-8416 | Dr. Russell Masterson Pa 878 109th Ave N Naples FL 34108-1814 Ph: (239) 596-8416 |
| NPI Number | 1932539939 |
|---|---|
| Provider Enumeration Date | 11/13/2013 |
| Last Update Date | 12/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932539939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY4235 (Florida) | Primary |
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