Individual
MICHAEL LEE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
915 1ST AVE S, CENTER FOR MENTAL HEALTH, GREAT FALLS, MT 59401-3705
(406) 791-9504
(406) 761-0554
Mailing address
2712 ALAMO DR, GREAT FALLS, MT 59404-3734
(406) 727-0041
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
310
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000051481
BLUE CROSS/SHIELD OF MT
MT
Enumeration date
07/24/2006
Last updated
06/02/2009
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