Provider Demographics
NPI:1235344318
Name:MASON, AAMIE RENAE (MS)
Entity Type:Individual
Prefix:MRS
First Name:AAMIE
Middle Name:RENAE
Last Name:MASON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1696 N HIGHWAY 7
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71909-9686
Mailing Address - Country:US
Mailing Address - Phone:501-317-9084
Mailing Address - Fax:
Practice Address - Street 1:211 S MARKET
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-4303
Practice Address - Country:US
Practice Address - Phone:501-455-8554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP #2131235Z00000X
ARA1901003101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5W296OtherBLUE CROSS BLUE SHIELD
AR146226721Medicaid