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NPI Code Detail

MEDICARE: KRISTIN J MASON MS, CCC-SLP

MEDICARE: KRISTIN J MASON MS, CCC-SLP
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
1235Z00000XSpeech-Language PathologistSP845ME
2235Z00000XSpeech-Language Pathologist3370SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SP845OTHERMESPEECH LANGUAGE PATHOLOGY
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
43370OTHERSCSC SLP LICENSE

General Provider Information

NPI Number : 1134105695
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN J MASON MS, CCC-SLP
Provider Business Mailing Address
First Line : 329 BATH RD
Second Line :
City : BRUNSWICK
State : ME
Zip : 04011-2673
Country : US
Telephone Number : 207-373-6175
Fax Number :
Provider Business Practice Location Address
First Line : 329 BATH RD
Second Line :
City : BRUNSWICK
State : ME
Zip : 04011-2673
Country : US
Telephone Number : 207-373-6175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2005
Last Update Date : 10/14/2025

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