Doctor Name: | DR. AMY L HALL |
NPI Number: | 1003256363 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D |
License Number: | |
Business Practice Address: | 1182 Pelican Bay Dr Daytona Beach, FL - 321191381 |
Business Phone Number: | 3862276456 |
Business Fax Number: | |
Mailing Address: | 1182 Pelican Bay Dr, DAYTONA BEACH |
State: | FL |
Postal Code: | 321191381 |
Phone Number: | 3862276456 |
Fax Number: | |
NPI Enumeration Date: | 07/01/2013 |
NPI Last Update Date: | 07/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |