Doctor Name: | MISS AMY MARIA HALL |
NPI Number: | 1134370281 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLPC |
License Number: | 6401010438 |
Business Practice Address: | 1134 S Lapeer Rd Lapeer, MI - 484463042 |
Business Phone Number: | 8106674111 |
Business Fax Number: | |
Mailing Address: | Po Box 1004, LAPEER |
State: | MI |
Postal Code: | 484465004 |
Phone Number: | 8106674111 |
Fax Number: | |
NPI Enumeration Date: | 10/07/2008 |
NPI Last Update Date: | 10/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401010438 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |