Provider Demographics
NPI:1972788701
Name:MASON, MONICA KAYE (MA, CCC-A)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:KAYE
Last Name:MASON
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:KAYE
Other - Last Name:ELROD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-A
Mailing Address - Street 1:1013 PORTAGE TRL STE 1
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-3047
Mailing Address - Country:US
Mailing Address - Phone:330-923-5150
Mailing Address - Fax:330-923-5310
Practice Address - Street 1:1013 PORTAGE TRL STE 1
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-3047
Practice Address - Country:US
Practice Address - Phone:330-923-5150
Practice Address - Fax:330-923-5310
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA10456231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHMA4229142Medicare PIN