Doctor Name: | MS. SUSAN L MASON |
NPI Number: | 1003823444 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 5225 Old Orchard Rd Ste 3 Skokie, IL - 600771027 |
Business Phone Number: | 8476040476 |
Business Fax Number: | 8478531665 |
Mailing Address: | 5225 Old Orchard Rd Ste 3, SKOKIE |
State: | IL |
Postal Code: | 600771027 |
Phone Number: | 8476040476 |
Fax Number: | 8478531665 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |