Doctor Name: | JEANNE HALL |
NPI Number: | 1558444224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 904 |
Business Practice Address: | 3470 Blazer Pkwy Lexington, KY - 405091200 |
Business Phone Number: | 8593236021 |
Business Fax Number: | |
Mailing Address: | 2333 Alumni Park Plz, Suite 200 LEXINGTON |
State: | KY |
Postal Code: | 405174012 |
Phone Number: | 8592577910 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 04/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 904 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |