Individual
JAMES MICHEAL MASH
Active
Individual
JAMES MICHEAL MASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
609
NM
103TP0016X
Prescribing (Medical) Psychologist
Primary
0013C
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63236079
—
NM
Enumeration date
05/10/2006
Last updated
01/10/2008
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