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Organization

A PORT IN A STORM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAGE S MASTOR PHD (CLINICAL PSYCHOLOGIST)
(575) 737-9352
Entity
Organization

Contact information

Practice address
1337 GUSDORF RD STE H, TAOS, NM 87571-6297
(575) 737-9352
(575) 737-5054
Mailing address
1337 GUSDORF RD STE H, TAOS, NM 87571-6297
(575) 737-9352
(575) 737-5054

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0858
NM

Other

Enumeration date
08/04/2015
Last updated
11/14/2025
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