NPI 1134439151

Mast Clinic, INC

Organisation Early Intervention Provider Agency Westbrook, ME

Practice location

Address: 1 Westbrook Cmn Suite 2, Westbrook, ME 04092-2804
Phone: (207) 892-5328
Fax: (866) 416-3820
Mailing address: 94 Rackleff St, Portland, ME 04103-3054

Authorised official

Name: Jacqueline D Mast
Title: Owner/Manager/Provider
Phone: (207) 892-5328

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence PT677 (ME)

Other Early Intervention Provider Agency providers in Maine →

Registry record

NPI: 1134439151
Entity type: Organization
NPI issued: 8 Oct 2010
Record last updated: 8 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.