Organization
MASTOR MENTAL HEALTH AND ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ELIA MASTOR M.D. (PRESIDENT)
(704) 662-6500
Entity
Organization
Contact information
Practice address
206 JOE V KNOX AVE, SUITE F, MOORESVILLE, NC 28117-7911
(704) 662-6500
(704) 662-6503
Mailing address
206 JOE V KNOX AVE, SUITE F, MOORESVILLE, NC 28117-7911
(704) 662-6500
(704) 662-6503
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/28/2006
Last updated
09/16/2010
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