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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