MEDICARE: DR. BRANDON CLARK MASON PSYD, LCSW

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	103TB0200X	Cognitive & Behavioral Psychologist	33029	CA
2	1041C0700X	Clinical Social Worker	LCS 23472	CA

General Provider Information

NPI Number	:	1881815454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRANDON CLARK MASON PSYD, LCSW

Provider Business Mailing Address
First Line	:	1306 ROUNDHOUSE ST
Second Line	:
City	:	TULARE
State	:	CA
Zip	:	93274-7777
Country	:	US
Telephone Number	:	559-300-5889
Fax Number	:

Provider Business Practice Location Address
First Line	:	1306 ROUNDHOUSE ST
Second Line	:
City	:	TULARE
State	:	CA
Zip	:	93274-7777
Country	:	US
Telephone Number	:	559-300-5889
Fax Number	:

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

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	03/17/2026

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