Individual
MS. MISTY ANN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
11806 N 87TH AVE, PEORIA, AZ 85345-8125
(602) 999-6358
Mailing address
16195 W COTTONWOOD ST, SURPRISE, AZ 85374-5740
(602) 999-6358
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4062
AZ
Other
Enumeration date
02/23/2007
Last updated
09/12/2023
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