Masullo, Diane Elaine

Masullo, Diane Elaine is an sole proprietor health care provider with primary practice located at 1003 W Business 190 , Copperas Cove TX 76522-3886. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Masullo, Diane Elaine can be contacted via phone (254) 547-3040.

Contact Information

Primary practice address
1003 W Business 190 Copperas Cove TX 76522-3886
Phone: (254) 547-3040
Fax: (800) 516-3152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 63673 Texas

Profile Details

NPI number 1568695195
LBN Legal business name Masullo, Diane Elaine
Credentials MS, LPC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2009
Last updated Oct 5th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568695195 NPPES
Texas Other 63673 LPC STATE LICENSE TEXAS

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