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Contact Information

KINNETA E MASON
19738 FIELDING ST
DETROIT, MI48219
 Phone: 313-538-5317
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KINNETA E MASON · (Female)

NPI Number 1093061517
Status Active
Credentials
Entity Individual
Enumeration date 08/02/2012
Last updated 08/20/2018 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MI License # 6301015176
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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