Mastracco, Marie E
Mastracco, Marie E is an sole proprietor health care provider with primary practice located at 1927A York Rd Rear Building, Lutherville MD 21093-4225. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mastracco, Marie E can be contacted via phone (443) 417-4243.Contact Information
Primary practice address
1927A York Rd Rear Building
Lutherville MD 21093-4225
Phone: (443) 417-4243
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC2273 | Maryland |
Profile Details
| NPI number | 1053538926 |
|---|---|
| LBN Legal business name | Mastracco, Marie E |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2007 |
| Last updated | Mar 3rd, 2011 - about 13 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053538926 | NPPES |
| Maryland | MEDICAID | 922801200 |
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