Doctor Name: | STEPHANIE MASON |
NPI Number: | 1477912103 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 007083-1 |
Business Practice Address: | 15 Boulevard St Hudson Falls, NY - 128391001 |
Business Phone Number: | 5187472994 |
Business Fax Number: | 5187472996 |
Mailing Address: | 15 Boulevard St, HUDSON FALLS |
State: | NY |
Postal Code: | 128391001 |
Phone Number: | 5187472994 |
Fax Number: | 5187472996 |
NPI Enumeration Date: | 02/23/2016 |
NPI Last Update Date: | 02/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 007083-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |