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NPI Code Detail

MEDICARE: LAUREL ANN MASON SLP

MEDICARE:   LAUREL ANN MASON  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 PathologistSP13303CA

General Provider Information

NPI Number : 1427198282
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREL ANN MASON SLP
Provider Business Mailing Address
First Line : 2530 PROFESSIONAL PKWY
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-1602
Country : US
Telephone Number : 805-928-4465
Fax Number : 805-928-7935
Provider Business Practice Location Address
First Line : 2530 PROFESSIONAL PKWY
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-1602
Country : US
Telephone Number : 805-928-4465
Fax Number : 805-928-7935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 07/08/2007

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Directions to “ LAUREL ANN MASON SLP” Practice Location

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