Doctor Name: | DR. RICHARD H. HALL |
NPI Number: | 1215953203 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICENSED PASTORAL CO |
License Number: | LP 468 |
Business Practice Address: | 291 Federal St Wiscasset, ME - 045784008 |
Business Phone Number: | 2078826526 |
Business Fax Number: | 2078826526 |
Mailing Address: | 29 Tarratine Dr, BRUNSWICK |
State: | ME |
Postal Code: | 040119544 |
Phone Number: | 2078826526 |
Fax Number: | 2078826526 |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | LP 468 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |