Michelle E Mastin in Evansville - Clinical Child & Adolescent

Michelle E Mastin - NPI 1003869116

Michelle E Mastin is a Clinical Child & Adolescent in Evansville, Indiana. Michelle E Mastin practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Michelle E Mastin is 1003869116. The last update date is 2022-07-21.

Michelle E Mastin's current location address is 3900 Washington Ave # 100, Evansville, Indiana. You can contact this provider via phone number 8124856694. The mailing address for Michelle E Mastin is 3900 Washington Ave # 100, Evansville, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelle E Mastin
Address 3900 Washington Ave # 100, Evansville, Indiana
Phone Number 8124856694
Fax Number
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1003869116
Provider Enumeration Date 2006-05-18
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 3900 Washington Ave # 100
City Evansville
State Indiana (IN)
Post Code 4771405500
Phone Number 8124856694
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 6301012872
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P108974770 MI BCBS PERSONAL PIN

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FAQs about Michelle E Mastin

What is the unique 10-digit identifier code issued to Michelle E Mastin by the Centers for Medicare & Medicaid Services?

The Michelle E Mastin has been assigned the NPI (National Provider Identifier) 1003869116 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Michelle E Mastin is physically located?

The Michelle E Mastin is situated at the following address: 3900 Washington Ave # 100, Evansville, IN 4771405500.

What is Michelle E Mastin's specialized field of practice, and what is the corresponding taxonomy classification code?

The Michelle E Mastin's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.

On what date did the Michelle E Mastin receive the assignment of its 1003869116 from the Centers for Medicare & Medicaid Services?

The Michelle E Mastin was issued its 1003869116 by the Centers for Medicare & Medicaid Services on 2006-05-18.

When was the information regarding Michelle E Mastin most recently updated?

The details pertaining to the Michelle E Mastin, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.

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