Mason, Toni L

Mason, Toni L is an sole proprietor health care provider with primary practice located at 1361 Jennings Mill Rd Suite 201, Bogart GA 30622-2579. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Mason, Toni L can be contacted via phone (706) 316-1908.

Contact Information

Primary practice address
1361 Jennings Mill Rd Suite 201 Bogart GA 30622-2579
Phone: (706) 316-1908
Fax: (706) 316-2062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2674 Georgia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2674 Georgia
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 2674 Georgia

Profile Details

NPI number 1043382021
LBN Legal business name Mason, Toni L
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2006
Last updated Sep 20th, 2007 - about 18 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 1043382021 NPPES
Georgia Other 10034544 AMERIGROUP

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