Mason, Deborah Kay

Mason, Deborah Kay is an individual health care provider with primary practice located at 1717 S Calhoun St , Fort Wayne IN 46802-5257. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mason, Deborah Kay can be contacted via phone (260) 458-2641.

Contact Information

Primary practice address
1717 S Calhoun St Fort Wayne IN 46802-5257
Phone: (260) 458-2641
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34007982A Indiana

Profile Details

NPI number 1205173309
LBN Legal business name Mason, Deborah Kay
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2013
Last updated Aug 10th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205173309 NPPES
Indiana Other 945300085 MEDICARE PTAN

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