| Doctor Name: | DR. MAIDA ISABEL MASCORRO |
| NPI Number: | 1174660716 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, NCC, LPC |
| License Number: | 96226 |
| Business Practice Address: | 106 S Portaleza Ave Roma, TX - 78584 |
| Business Phone Number: | 9568499620 |
| Business Fax Number: | 9568499620 |
| Mailing Address: | 2001 Robin Ave, MCALLEN |
| State: | TX |
| Postal Code: | 785043837 |
| Phone Number: | 9563586001 |
| Fax Number: | 9563586001 |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 96226 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |