Masom, Andrea L
Masom, Andrea L is an sole proprietor health care provider with primary practice located at 106 E 3Rd St Suite 2B, Moscow ID 83843-2970. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Masom, Andrea L can be contacted via phone (208) 882-1289.Contact Information
Primary practice address
106 E 3Rd St Suite 2B
Moscow ID 83843-2970
Phone: (208) 882-1289
Fax: (208) 882-8406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LCPC#3017 | Idaho |
Profile Details
| NPI number | 1083623391 |
|---|---|
| LBN Legal business name | Masom, Andrea L |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083623391 | NPPES |
| Idaho | Other | Q5977 | BLUE CROSS |
Popular Providers
-
Lind, Deborah
497 Ridge Rd , Moscow ID 83843-2521 -
Miles, Elizabeth Mary
317 W 6Th St Ste 208 , Moscow ID 83843-2387 -
Rubino, April King
803 S Jefferson St Suite 3, Moscow ID 83843-3096 -
Colaprete, Bethany S
212 Rodeo Dr Suite 410, Moscow ID 83843-9798 -
Bayly, Dan James
530 S Asbury St Ste 4 , Moscow ID 83843-2243 -
Williamson, Jason
818 S Washington St , Moscow ID 83843-3049 -
Pals, Diana L
814 S Washington St , Moscow ID 83843-3049 -
Barnes, Rebecca K
870 Ventura St , Moscow ID 83843-9585