| Stanley P Masinter Llc | |
|
7936 Wrenwood Blvd Ste A Baton Rouge LA 70809-7701 | |
| (225) 927-0252 | |
| Not Available |
| Full Name | Stanley P Masinter Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 7936 Wrenwood Blvd Ste A, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Stanley P Masinter (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2259270252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley P Masinter Llc 775 Nelson Dr Baton Rouge LA 70808-5084 Ph: (225) 927-0252 | Stanley P Masinter Llc 7936 Wrenwood Blvd Ste A Baton Rouge LA 70809-7701 Ph: (225) 927-0252 |
| NPI Number | 1053588624 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 05/13/2008 |
| Medicare PECOS PAC ID | 7416136726 |
|---|---|
| Medicare Enrollment ID | O20110119000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053588624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1674 (Louisiana) | Primary |
| Provider Name | Stanley P Masinter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912916172 PECOS PAC ID: 3476732207 Enrollment ID: I20110126000686 |
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