Individual
TAYLOR MARIE MASTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
60 TEMPLE ST STE 5C, NEW HAVEN, CT 06510-2716
(203) 903-8823
Mailing address
60 TEMPLE ST STE 5C, NEW HAVEN, CT 06510-2716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15524-130
WI
103TC0700X
Clinical Psychologist
Primary
005268
CT
103TC0700X
Clinical Psychologist
PSY.0004473
CO
Other
Enumeration date
02/24/2009
Last updated
04/30/2026
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