Provider Demographics
NPI:1619181005
Name:MASON, RHONDA L (PHD)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:L
Last Name:MASON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 E BIRCH ST
Mailing Address - Street 2:UNIT 8791
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92822-2094
Mailing Address - Country:US
Mailing Address - Phone:714-990-3590
Mailing Address - Fax:714-990-3590
Practice Address - Street 1:238 S ORANGE AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821
Practice Address - Country:US
Practice Address - Phone:714-990-3590
Practice Address - Fax:714-990-3590
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14159103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical