Individual
DR. THEODORE PETER MASINO II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
507 JOHN SIMS PKWY E, NICEVILLE, FL 32578-2027
(850) 424-5210
(850) 424-3220
Mailing address
507 JOHN SIMS PKWY E, NICEVILLE, FL 32578-2027
(850) 424-5210
(850) 424-3220
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6920
FL
Other
Enumeration date
09/09/2005
Last updated
10/14/2025
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