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Russell Masterson, PHD
Health Service Psychologist in Naples, Florida
NPI 1851339220

Russell Masterson is a Health Service Psychologist based in Naples, FL and is specialized in Health Service. Russell Masterson practices in Naples, FL and has the professional credentials of PHD. The NPI Number for Russell Masterson is 1851339220 and holds a License No. FL2435 (Florida).

The current practice location address for Russell Masterson is 878 109Th Ave N, Naples, FL and can be reached out via phone at 239-596-8416 and via fax at 239-513-1915.

Location: 878 109Th Ave N, Naples, FL, 34108-1821
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851339220
Provider Name
Russell Masterson
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
878 109Th Ave N, Naples, FL, 34108-1821
Phone Number
239-596-8416
Fax Number
239-513-1915
Provider Enumeration Date
06/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
75199 01 FL BLUE CROSS BLUE SHIELD
P00146358 01 FL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
878 109Th Ave N
City
Naples
State
Florida
Zip
34108-1821
Phone Number
239-596-8416
Fax Number
239-513-1915
person
Provider Business Mailing Address Details
Address
878 109Th Ave N
City
Naples
State
Florida
Zip
34108-1821
Phone Number
239-596-8416
Fax Number
239-513-1915
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
FL2435 (Florida)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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