Organization Name: | DR. MORGAIN HALL, PLLC |
NPI Number: | 1538416771 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GWENDOLYN MORGAIN HALL (MEMBER/MANAGER) |
Mailing Address: | 1000 73rd Street Suite 5 Windsor Heights |
State: | IA US |
Postal Code: | 503241321 |
Phone Number: | 5152221175 |
Fax Number: | 5152220953 |
NPI Enumeration Date: | 08/07/2012 |
NPI Last Update Date: | 08/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 001053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |