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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

NPI Number 1487730461
LBN Legal business name RUSSELL W MASTERSON PA
Authorized official RUSSELL MASTERSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/31/2006
Last updated 07/16/2008 - About 18 years ago
Identifiers
FL License # PY2435
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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