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Individual

KRISTIN J MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
329 BATH RD, BRUNSWICK, ME 04011-2673
(207) 373-6175
Mailing address
329 BATH RD, BRUNSWICK, ME 04011-2673
(207) 373-6175

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3370
SC
235Z00000X
Speech-Language Pathologist
Primary
SP845
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3370
SC SLP LICENSE
SC
05
SA0546
SC
01
SP845
SPEECH LANGUAGE PATHOLOGY
ME
05
SP845
ME
Enumeration date
12/16/2005
Last updated
10/14/2025
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