Individual
DR. TONI L MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1361 JENNINGS MILL RD, SUITE 201, BOGART, GA 30622-2579
(706) 316-1908
(706) 316-2062
Mailing address
1361 JENNINGS MILL RD, SUITE 201, BOGART, GA 30622-2579
(706) 316-1908
(706) 316-2062
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2674
GA
103TB0200X
Cognitive & Behavioral Psychologist
2674
GA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2674
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10034544
AMERIGROUP
GA
Enumeration date
11/14/2006
Last updated
09/20/2007
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