Organization
MAST MEMORY AND PSYCHOLOGICAL SERVICES
Active
Organization
MAST MEMORY AND PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN T. MAST PHD, ABPP (CLINICAL PSYCHOLOGIST)
(502) 632-7817
Entity
Organization
Contact information
Practice address
6000 BROWNSBORO PARK BLVD STE G, LOUISVILLE, KY 40207-7201
(502) 632-7817
(502) 721-0333
Mailing address
6000 BROWNSBORO PARK BLVD STE G, LOUISVILLE, KY 40207-7201
(502) 632-7817
(502) 721-0333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
09/12/2024
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