Doctor Name: | DENISE MARIE HALL |
NPI Number: | 1053637488 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 0904005783 |
Business Practice Address: | 114 Pepper St S Suite A Christiansburg, VA - 240733574 |
Business Phone Number: | 5405776050 |
Business Fax Number: | |
Mailing Address: | 114 Pepper St Se, Suite A CHRISTIANSBURG |
State: | VA |
Postal Code: | 24073 |
Phone Number: | 5405776050 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2010 |
NPI Last Update Date: | 04/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904005783 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |