| Mast Memory And Psychological Services | |
|
6000 Brownsboro Park Blvd Ste G Louisville KY 40207-7201 | |
| (502) 632-7817 | |
| (502) 721-0333 |
| Full Name | Mast Memory And Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 6000 Brownsboro Park Blvd Ste G, Louisville, Kentucky |
| Authorized Official Name and Position | Benjamin T. Mast (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5026327817 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mast Memory And Psychological Services 6000 Brownsboro Park Blvd Ste G Louisville KY 40207-7201 Ph: (502) 632-7817 | Mast Memory And Psychological Services 6000 Brownsboro Park Blvd Ste G Louisville KY 40207-7201 Ph: (502) 632-7817 |
| NPI Number | 1366272106 |
|---|---|
| Provider Enumeration Date | 08/06/2024 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Medicare PECOS PAC ID | 5294260568 |
|---|---|
| Medicare Enrollment ID | O20241122002660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366272106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Benjamin T Mast |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306011671 PECOS PAC ID: 0547328304 Enrollment ID: I20081022000626 |
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