Individual
DR. PATRICIA JANE MASTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
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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