Most Relevant Information
Provider Data
| NPI Number: | 1003447806 |
| Provider Name: | CLARISSA-ELAINE ELIZEBETH MASON MA, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SLP-2050 |
Most Important Dates
| Enumeration Date: | 01/30/2020 |
| Last Updated: | 01/30/2020 |
Provider Practice Location
98 CARTER BRAXTON DR
SUTTON
WV
266019592
Practice Location Phone/Fax
| Phone: | 3047657101 |
| Fax: |
Provider Mailing Location
1152 LAUREL FORK RD
DUCK
WV
250639150
Provider Mailing Phone/Fax
| Phone: | 3048806512 |
| Fax: |