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NPI Code Detail

MEDICARE: HEATHER MASTRIANNO PSYD

MEDICARE:   HEATHER  MASTRIANNO  PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist36336TX

General Provider Information

NPI Number : 1356789234
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER MASTRIANNO PSYD
Provider Business Mailing Address
First Line : 645 N WALNUT AVE
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78130-7925
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 645 N WALNUT AVE
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78130-7925
Country : US
Telephone Number : 830-730-6090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2013
Last Update Date : 08/05/2025

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Directions to “ HEATHER MASTRIANNO PSYD” Practice Location

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