Doctor Name: | MR. RONALD JAMES HALL |
NPI Number: | 1053488916 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | LCSW149006507 |
Business Practice Address: | 146 Gooding Street Lasalle, IL - 613013678 |
Business Phone Number: | 8152244522 |
Business Fax Number: | 8152238055 |
Mailing Address: | 146 Gooding Street, LASALLE |
State: | IL |
Postal Code: | 613013678 |
Phone Number: | 8152244522 |
Fax Number: | 8152238055 |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 08/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW149006507 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |