Individual
MR. WOODY MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
27499 RIVERVIEW CENTER BLVD, SUITE 140, BONITA SPRINGS, FL 34134-4313
(239) 444-4201
(239) 444-4205
Mailing address
PO BOX 1329, BONITA SPRINGS, FL 34133-1329
(239) 444-4201
(239) 444-4205
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS451
FL
Other
Enumeration date
04/18/2007
Last updated
04/19/2010
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