Individual
DR. DANA LOUISE DE MASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
421 PEAR TREE POINT RD, CHESTERTOWN, MD 21620-2342
(425) 922-4063
Mailing address
2336 GODDARD PKWY, SALISBURY, MD 21801-1126
(410) 334-6961
(410) 334-6362
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH00007347
WA
103K00000X
Behavior Analyst
04716
MD
103TC0700X
Clinical Psychologist
04716
MD
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
04716
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
346646
MHN/TRICARE
MD
05
—
609550002
—
MD
05
—
609550005
—
MD
01
—
R968
CAREFIRST
MD
Enumeration date
04/20/2007
Last updated
09/21/2016
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