Organization
DR. RUSSELL MASTERSON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL W MASTERSON PHD (OWNER)
(239) 596-8416
Entity
Organization
Contact information
Practice address
878 109TH AVE N, NAPLES, FL 34108-1814
(239) 596-8416
Mailing address
878 109TH AVE N, NAPLES, FL 34108-1814
(239) 596-8416
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY4235
FL
Other
Enumeration date
11/13/2013
Last updated
12/16/2013
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