Provider Demographics
NPI:1861298820
Name:MASEKA, NSAMUNGET
Entity type:Individual
Prefix:
First Name:NSAMUNGET
Middle Name:
Last Name:MASEKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NSAMONGET
Other - Middle Name:
Other - Last Name:MASEKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10320 W MCDOWELL RD STE 7022
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392-4871
Mailing Address - Country:US
Mailing Address - Phone:623-304-8316
Mailing Address - Fax:
Practice Address - Street 1:10320 W MCDOWELL RD
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-4863
Practice Address - Country:US
Practice Address - Phone:314-584-0673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty