Mason, Douglas J

Mason, Douglas J is an sole proprietor health care provider with primary practice located at 26540 Ace Ave Ste E-106 , Leesburg FL 34748-8279. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Mason, Douglas J can be contacted via phone (352) 530-2317.

Contact Information

Primary practice address
26540 Ace Ave Ste E-106 Leesburg FL 34748-8279
Phone: (352) 530-2317
Fax: (352) 530-2180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY6497 Florida
Behavioral Health & Social Service Providers / Social Worker 104100000X SW4261 Florida
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY6497 Florida

Profile Details

NPI number 1750383006
LBN Legal business name Mason, Douglas J
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2005
Last updated Feb 20th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750383006 NPPES
Florida Other 54884 BLUE CROSS PROVIDER NUMBE

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