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Contact Information

RUSSELL W MASTERSON PA
15395 ROYAL FERN LN W
NAPLES, FL34110
 Phone: 239-513-6013
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RUSSELL W MASTERSON PA · (Female)

NPI # 1487730461
Status Active
Credentials
Entity Individual
Enumeration date 10/31/2006
Last updated 07/16/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # PY2435
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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