Max Mastellone in Las Cruces - Intellectual And Developmental Disabilities
Max Mastellone - NPI 1134278179
Max Mastellone is a Intellectual And Developmental Disabilities in Las Cruces, New Mexico. Max Mastellone practices all healthcare services and medical treatments related to Intellectual And Developmental Disabilities. The NPI Number for Max Mastellone is 1134278179. The last update date is 2007-07-09.
Max Mastellone's current location address is 2615 Cashmere Ct, Las Cruces, New Mexico. You can contact this provider via phone number 6097065931 and fax number 5055216259. The mailing address for Max Mastellone is 2615 Cashmere Ct, Las Cruces, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Max Mastellone |
|---|---|
| Address | 2615 Cashmere Ct, Las Cruces, New Mexico |
| Phone Number | 6097065931 |
| Fax Number | 5055216259 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1134278179 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2615 Cashmere Ct |
|---|---|
| City | Las Cruces |
| State | New Mexico (NM) |
| Post Code | 880110800 |
| Phone Number | 6097065931 |
| Fax Number | 5055216259 |
Provider's Primary Taxonomy Detail
| Speciality | Intellectual And Developmental Disabilities |
|---|---|
| Taxonomy | 103Tm1800X |
| Licence No | 953 |
|
Definition: A psychologist who works with people who have cognitive impairments and developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39980847 | NM | -- | |
| 22559302 | NM | -- |
Post Comment/ Review Below
What is the Max Mastellone's 1134278179?
The Max Mastellone's NPI (National Provider Identifier) Number is 1134278179. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Max Mastellone is geographically located?
The Max Mastellone is physically situated at the following location: 2615 Cashmere Ct, Las Cruces, NM, 880110800.
What is Max Mastellone's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Max Mastellone is Intellectual And Developmental Disabilities, and the taxonomy code that classifies this field of practice is 103Tm1800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134278179 to Max Mastellone?
The Centers for Medicare & Medicaid Services assigned the 1134278179 to Max Mastellone on 2007-01-09.
When was the information regarding Max Mastellone, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Max Mastellone, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.