| Russell W Masterson Pa | |
|
15395 Royal Fern Ln W Naples FL 34110 | |
| (239) 513-6013 | |
| Not Available |
| Full Name | Russell W Masterson Pa |
|---|---|
| Speciality | Psychologist |
| Location | 15395 Royal Fern Ln W, Naples, Florida |
| Authorized Official Name and Position | Russell Masterson (OWNER) |
| Authorized Official Contact | 2395136013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell W Masterson Pa Po Box 111600 Naples FL 34108-0127 Ph: () - | Russell W Masterson Pa 15395 Royal Fern Ln W Naples FL 34110 Ph: (239) 513-6013 |
| NPI Number | 1487730461 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487730461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY2435 (Florida) | Primary |
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