Individual
DR. JULIE MARIE MASTNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
#1 JEFFERSON BARRACKS DRIVE, VETERANS AFFAIRS MEDICAL CENTER - JB DIVISION, SAINT LOUIS, MO 63125
(314) 652-4100
(314) 845-5016
Mailing address
#1 JEFFERSON BARRACKS DRIVE, VETERANS AFFAIRS MEDICAL CENTER - JB DIVISION, SAINT LOUIS, MO 63125
(314) 652-4100
(314) 845-5016
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2006035362
MO
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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