Individual
DR. BENJAMIN T MAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
204 E MARKET ST, LOUISVILLE, KY 40202-1218
(502) 588-4340
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
KY-1464
KY
Other
Enumeration date
04/28/2008
Last updated
05/29/2020
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