Individual
MRS. CHALYSE A HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1110 CALL CREEK DR, POCATELLO, ID 83201-3001
(208) 233-4660
Mailing address
5014 ELIZABETH AVE, CHUBBUCK, ID 83202-1606
(208) 240-4321
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP2363
ID
Other
Enumeration date
10/03/2012
Last updated
03/13/2013
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