Healthcare Provider Details

I. General information

NPI: 1144304999
Provider Name (Legal Business Name): ALLISON MASON MS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8001 NW 53RD ST
LAUDERHILL FL
33351-5009
US

IV. Provider business mailing address

8001 NW 53RD ST
LAUDERHILL FL
33351-5009
US

V. Phone/Fax

Practice location:
  • Phone: 954-243-8113
  • Fax:
Mailing address:
  • Phone: 954-243-8113
  • Fax: 954-243-8113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA 6178
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: