Individual
SCOTT BERNARD MASSARO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
208 CASABLANCA, CANNON AFB BUILDING 1400, CLOVIS, NM 88103-5014
(505) 784-6608
(505) 784-6028
Mailing address
208 CASABLANCA, CANNON AFB BUILDING 1400, CLOVIS, NM 88103-5014
(505) 784-6608
(505) 784-6028
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6532
FL
Other
Enumeration date
10/03/2005
Last updated
07/08/2007
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