Individual
KAZLIN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
600 MOYE BLVD, ECU PHYSICIANS SPEECH LANGUAGE PATHOLOGY, GREENVILLE, NC 27834-4300
(252) 744-6104
Mailing address
PO BOX 751069, ECU PHYSICIANS, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11124
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033500558
—
NC
01
—
19A2W
BCBS NC
NC
Enumeration date
02/06/2015
Last updated
05/12/2015
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