MEDICARE: DR. HELEN R MASON MD

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
1	103T00000X	Psychologist	4825	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376550087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELEN R MASON MD

Provider Business Mailing Address
First Line	:	2043 MEDICAL PARK DR
Second Line	:
City	:	NEWBERRY
State	:	SC
Zip	:	29108-2249
Country	:	US
Telephone Number	:	803-276-8000
Fax Number	:	803-276-6669

Provider Business Practice Location Address
First Line	:	2043 MEDICAL PARK DR
Second Line	:
City	:	NEWBERRY
State	:	SC
Zip	:	29108-2249
Country	:	US
Telephone Number	:	803-276-8000
Fax Number	:	803-276-6669

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	03/19/2008

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Directions to “ DR. HELEN R MASON MD” Practice Location

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