Individual
DR. KIERSTAN RUTH HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1563 MONTAUK HWY, OAKDALE, NY 11769-1322
(631) 563-3162
Mailing address
60 ROCKAWAY ST, ISLIP TERRACE, NY 11752-1017
(516) 497-0512
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
026083
NY
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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