Doctor Name: | DENNETTE HALL |
NPI Number: | 1003260423 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D |
License Number: | 37344 |
Business Practice Address: | 16318 Madewood St Cypress, TX - 774294891 |
Business Phone Number: | 5632604550 |
Business Fax Number: | |
Mailing Address: | 16318 Madewood St, CYPRESS |
State: | TX |
Postal Code: | 774294891 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/21/2016 |
NPI Last Update Date: | 04/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 37344 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |