| Doctor Name: | TODD W HALL |
| NPI Number: | 1205179884 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | PSY16283 |
| Business Practice Address: | 12625 La Mirada Blvd 202 La Mirada, CA - 906382211 |
| Business Phone Number: | 5629034800 |
| Business Fax Number: | |
| Mailing Address: | 12625 La Mirada Blvd, 202 LA MIRADA |
| State: | CA |
| Postal Code: | 906382211 |
| Phone Number: | 5629034800 |
| Fax Number: | |
| NPI Enumeration Date: | 04/01/2013 |
| NPI Last Update Date: | 04/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY16283 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |