Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAYLOR MARIE MASTIN, PH.D.
ActiveTAYLOR MARIE MASTIN, PH.D. is a Clinical Psychologist healthcare provider located in PETERSON SFB, Colorado. NPI 1396985792 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · PETERSON SFB, CO
Registration Details
- NPI Number
- 1396985792
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 24, 2009 (17.285730611706 yrs)
- Last Updated
- Jan 18, 2024
- Licenses
-
15524-130 (WI)PSY.0004473 (CO)
Practice Information
- Address
-
559 VINCENT ST.SPACE BASE DELTA 1PETERSON SFB, CO, 809141541Browse CO providers · Browse ZIP 80914
- Phone
- 7195564009
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.