Organization
DR SUSAN HALL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN L HALL PH. D. (PRESIDENT)
(808) 394-6206
Entity
Organization
Contact information
Practice address
4566 OHIA ST, KAPAA, HI 96746-1646
(808) 651-4860
(808) 822-7048
Mailing address
PO BOX 26049, HONOLULU, HI 96825-6049
(808) 394-6206
(808) 394-6207
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY377
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F0235942
HAWAII MEDICAL SVC ASSN
HI
05
—
52102205
—
HI
Enumeration date
02/22/2007
Last updated
08/19/2008
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