Doctor Name: | JOANN MASTERSON |
NPI Number: | 1043220965 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | 01393 |
Business Practice Address: | 823 Keeler St Boone, IA - 500362729 |
Business Phone Number: | 5154332100 |
Business Fax Number: | 5154325544 |
Mailing Address: | 626 Barr Dr, AMES |
State: | IA |
Postal Code: | 500104930 |
Phone Number: | 5152325267 |
Fax Number: | 3198653110 |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 01393 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |