Individual
DR. PATRICIA JANE MASTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
28001 CHAGRIN BLVD, #212, WOODMERE, OH 44122
(216) 292-7170
(216) 292-7182
Mailing address
23360 CHAGRIN BLVD., STE. 110, BEACHWOOD, OH 44122
(216) 595-3175
(216) 595-3178
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3080
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000115676
UNICARE- LIFE AND HEALTH
OH
01
—
03885500
MAGELLAN
OH
05
—
0463172
—
OH
01
—
R03080
SUMMA
OH
Enumeration date
12/05/2005
Last updated
08/03/2011
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