Individual provider · Type 1 NPI
Mason Ross Smith, PSY.D.
Mental Health Counselor · Brockton, MA
NPI number
1770890519
Active
Practice location
1115 W Chestnut St
Brockton, MA 02301-7501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1770890519
Mason Ross Smith, PSY.D.'s National Provider Identifier is 1770890519, issued on Aug 31, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brockton, MA. The record was last updated on Aug 31, 2010.