| Doctor Name: | MS. MARTA J HALL |
| NPI Number: | 1164586418 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHNP |
| License Number: | 2006009318 |
| Business Practice Address: | 179 Main St Suite 412 Waterville, ME - 049016672 |
| Business Phone Number: | 2078614121 |
| Business Fax Number: | 2078614120 |
| Mailing Address: | 179 Main St, Suite 412 WATERVILLE |
| State: | ME |
| Postal Code: | 049016672 |
| Phone Number: | 2078614121 |
| Fax Number: | 2078614120 |
| NPI Enumeration Date: | 12/21/2006 |
| NPI Last Update Date: | 05/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 2006009318 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |