Doctor Name: | MS. DOROTHY C. MASTRIAN |
NPI Number: | 1508961509 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC |
License Number: | 37PC00136400 |
Business Practice Address: | 886 Belmont Ave North Haledon, NJ - 075082573 |
Business Phone Number: | 9734233983 |
Business Fax Number: | |
Mailing Address: | 886 Belmont Ave, NORTH HALEDON |
State: | NJ |
Postal Code: | 075082573 |
Phone Number: | 9734233983 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 37PC00136400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |