Individual
MS. JESSICA KATHERINE MASTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
501 FIFTH AVENUE, SUITE 1709, NEW YORK, NY 10017-6129
(516) 661-4603
(914) 423-9434
Mailing address
501 FIFTH AVENUE, SUITE 1709, NEW YORK, NY 10017-6129
(516) 661-4603
(914) 423-9434
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
68-021189
NY
103TC0700X
Clinical Psychologist
68-021189
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/23/2009
Last updated
07/21/2022
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