| NPI | 1194827378 |
|---|---|
| Other Name | MARY ELLEN MATASSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CO 43170) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A79433) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |