Organization
PATRICIA J MASTERSON PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA J MASTERSON PH.D. (COUNSELING PSYCHOLOGIST)
(216) 292-7170
Entity
Organization
Contact information
Practice address
28001 CHAGRIN BLVD, 212, WOODMERE, OH 44122-4559
(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
05
—
3037118
—
OH
Enumeration date
03/15/2010
Last updated
08/03/2011
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