Individual
AMANDA MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
184 COBBLESTONE DR, SAN RAFAEL, CA 94903-1510
(415) 370-4256
Mailing address
184 COBBLESTONE DR, SAN RAFAEL, CA 94903-1510
(415) 370-4256
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY26711
CA
103TC0700X
Clinical Psychologist
Primary
26711
CA
103TF0000X
Family Psychologist
—
—
Other
Enumeration date
07/02/2012
Last updated
07/07/2020
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