| Doctor Name: | MRS. WENDY L HALL |
| NPI Number: | 1164652046 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | SW 0004489 |
| Business Practice Address: | 2145 W Norvell Bryant Hwy Lecanto, FL - 344619437 |
| Business Phone Number: | 3526970705 |
| Business Fax Number: | |
| Mailing Address: | 2200 W Deer Trail Ln, LECANTO |
| State: | FL |
| Postal Code: | 344616414 |
| Phone Number: | 3527461072 |
| Fax Number: | 3527467750 |
| NPI Enumeration Date: | 07/25/2009 |
| NPI Last Update Date: | 07/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW 0004489 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |