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NPI Code Detail

MEDICARE: MRS. ELIZABETH MASTERMAN MA

MEDICARE: MRS. ELIZABETH MASTERMAN MA
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1770640278
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH MASTERMAN MA
Provider Business Mailing Address
First Line : 182 THOMPSON RD
Second Line :
City : PRINCETON
State : MA
Zip : 01541-1400
Country : US
Telephone Number : 978-464-5536
Fax Number :
Provider Business Practice Location Address
First Line : 172 LINCOLN ST
Second Line :
City : WORCESTER
State : MA
Zip : 01605-3750
Country : US
Telephone Number : 508-770-0511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. ELIZABETH MASTERMAN MA” Practice Location

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