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Contact Information

PAGE S MASTOR, PHD
208 PASEO DEL PUEBLO SUR UNIT 101
TAOS, NM87571-5931
 Phone: 575-737-9352
 Fax: 575-737-5054
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PAGE S MASTOR · (Female)

NPI Number 1902958416
Status Active
Credentials PHD
Entity Individual
Enumeration date 01/17/2007
Last updated 10/22/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 0858
  • NM Medicaid 39907538
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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