| Mary R Mastria, Phd, Lcsw | |
|
57 Union Pl Suite 212 Summit NJ 07901-2568 | |
| (908) 277-1411 | |
| Not Available |
| Full Name | Mary R Mastria, Phd, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 57 Union Pl, Summit, New Jersey |
| Authorized Official Name and Position | Mary R Ricciardi-mastria (EMPLOYER) |
| Authorized Official Contact | 9082771411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary R Mastria, Phd, Lcsw 57 Union Pl Suite 212 Summit NJ 07901-2568 Ph: (908) 277-1411 | Mary R Mastria, Phd, Lcsw 57 Union Pl Suite 212 Summit NJ 07901-2568 Ph: (908) 277-1411 |
| NPI Number | 1255736062 |
|---|---|
| Provider Enumeration Date | 10/23/2014 |
| Last Update Date | 11/23/2022 |
| Certification Date | 11/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255736062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC04597400 (New Jersey) | Primary |
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