Doctor Name: | MICHAEL S HALL |
NPI Number: | 1053776922 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, CCC-SLP |
License Number: | 13-037 |
Business Practice Address: | 103 Windsor Path Suite 4 Georgetown, KY - 403249610 |
Business Phone Number: | 5028633870 |
Business Fax Number: | |
Mailing Address: | 104 Glass Ave, LEXINGTON |
State: | KY |
Postal Code: | 405054110 |
Phone Number: | 8598036604 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2015 |
NPI Last Update Date: | 12/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 13-037 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |