Organization
MIND SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN K MASON PH.D. (LICENSED PSYCHOLOGIST/DIRECTOR)
(202) 321-9117
Entity
Organization
Contact information
Practice address
365 5TH AVE S, NAPLES, FL 34102-6575
(239) 307-0886
Mailing address
3210 66TH ST SW, NAPLES, FL 34105-7322
(202) 321-9117
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9595
FL
Other
Enumeration date
01/12/2017
Last updated
02/23/2021
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