Mastin, Taylor Marie

Mastin, Taylor Marie is an individual health care provider with primary practice located at 559 Vincent St. Space Base Delta 1, Peterson Sfb CO 80914-1541. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mastin, Taylor Marie can be contacted via phone (719) 556-4009.

Contact Information

Primary practice address
559 Vincent St. Space Base Delta 1 Peterson Sfb CO 80914-1541
Phone: (719) 556-4009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15524-130 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY.0004473 Colorado

Profile Details

NPI number 1396985792
LBN Legal business name Mastin, Taylor Marie
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2009
Last updated Jan 18th, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers