NPI 1609489624

Mason G Edmunds, OCPSA

Practitioner Prevention Professional Youngstown, OH

Practice location

Address: 527 N Meridian Rd, Youngstown, OH 44509-1227
Phone: (330) 797-0070

Registered specialties (2)

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence OCPSA.161826 (OH)

Other Prevention Professional providers in Ohio →

Prevention Professional

Other Service Providers Taxonomy 405300000X Licence RA.162173 (OH)

Registry record

NPI: 1609489624
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Aug 2020
Record last updated: 5 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.