Individual
BENJAMIN M MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
10184 E I25 FRONTAGE RD, FIRESTONE, CO 80504-5445
(720) 378-6670
(303) 557-9701
Mailing address
2905 INCA ST UNIT 4117, DENVER, CO 80202-1990
(614) 558-1288
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSLP.0000100
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22105395
—
CO
Enumeration date
06/14/2017
Last updated
06/14/2017
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