Individual
RUSSELL MASTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
878 109TH AVE N, NAPLES, FL 34108-1821
(239) 596-8416
(239) 513-1915
Mailing address
878 109TH AVE N, NAPLES, FL 34108-1821
(239) 596-8416
(239) 513-1915
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
FL2435
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75199
BLUE CROSS BLUE SHIELD
FL
01
—
P00146358
RAILROAD MEDICARE
FL
Enumeration date
06/04/2006
Last updated
09/15/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us