Individual
DR. JEFFREY DANIEL HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2076 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 955-7333
Mailing address
904 W EDWARDS AVE, NAMPA, ID 83686-2886
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-202598
ID
Other
Enumeration date
08/24/2008
Last updated
04/26/2013
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