| Doctor Name: | SUSAN E HALL |
| NPI Number: | 1043521271 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SLP-1946 |
| Business Practice Address: | 820 Elm Dr St Maries, ID - 838612119 |
| Business Phone Number: | 2082454576 |
| Business Fax Number: | 2082452138 |
| Mailing Address: | 141 Susie Dr, ST MARIES |
| State: | ID |
| Postal Code: | 838619527 |
| Phone Number: | 2085823605 |
| Fax Number: | 2082452138 |
| NPI Enumeration Date: | 06/22/2010 |
| NPI Last Update Date: | 06/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP-1946 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |