| Doctor Name: | MS. THERESA C MASON |
| NPI Number: | 1023086436 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW BCD |
| License Number: | CW013231 |
| Business Practice Address: | Persoma, Pc 2450 Monroeville Blvd. Monroeville, PA - 15146 |
| Business Phone Number: | 4128235155 |
| Business Fax Number: | 4128238262 |
| Mailing Address: | Persoma, Pc, 2540 Monroeville Blvd. MONROEVILLE |
| State: | PA |
| Postal Code: | 15146 |
| Phone Number: | 4128235155 |
| Fax Number: | 4128238262 |
| NPI Enumeration Date: | 03/10/2006 |
| NPI Last Update Date: | 10/03/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CW013231 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |