Mason Clegg

NPI 1215876974 · on the registry since 2026 · sole proprietor

Practice

Address: 3205 N Twyman Rd
Independence, MO 64058
Phone: (816) 791-7229
Organisation at this address: Doulos Ministries, Inc.
Doulos Ministries, Inc.
Change Academy At Lake Of The Ozarks
Change Academy At Lake Of The Ozarks
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 47

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-03-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri