Doctor Name: | DR. JOSHUA MYLES MASINO |
NPI Number: | 1295800357 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | 016856-1 |
Business Practice Address: | 8222 Douglas Ave Suite 375 Dallas, TX - 752255923 |
Business Phone Number: | 2149055090 |
Business Fax Number: | 2149051998 |
Mailing Address: | 8222 Douglas Ave, Suite 375 DALLAS |
State: | TX |
Postal Code: | 752255923 |
Phone Number: | 2149055090 |
Fax Number: | 2149051998 |
NPI Enumeration Date: | 11/22/2006 |
NPI Last Update Date: | 10/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 016856-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |