Provider Demographics
NPI:1881235620
Name:MASON, DANIELLE COTTONHAM (PHD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:COTTONHAM
Last Name:MASON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:DANIELLE
Other - Middle Name:PF
Other - Last Name:COTTONHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:3157 GENTILLY BLVD # 2549
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-3872
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3157 GENTILLY BLVD # 2549
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70122-3872
Practice Address - Country:US
Practice Address - Phone:504-233-7922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-02
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31304103T00000X
TX39723103T00000X
LA1741103T00000X
FL3031103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist