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NPI Code Detail

MEDICARE: DR. ALLISON L MASON PSYD

MEDICARE: DR. ALLISON L MASON PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist071007801IL

General Provider Information

NPI Number : 1356672943
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLISON L MASON PSYD
Provider Business Mailing Address
First Line : 1100 S HAMILTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60612-4207
Country : US
Telephone Number : 312-433-7382
Fax Number :
Provider Business Practice Location Address
First Line : 1100 S HAMILTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60612-4207
Country : US
Telephone Number : 312-433-7382
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2010
Last Update Date : 04/27/2021

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Directions to “ DR. ALLISON L MASON PSYD” Practice Location

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