Individual
DR. BETYE J MASHACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
1325 BABIN MILL DRIVE, GONZALES, LA 70737
(225) 673-8394
Mailing address
13205 BABIN MILL AVE, GONZALES, LA 70737-6279
(225) 673-8394
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
27665402
LA
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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