Individual
MR. CALVIN HALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3101 RACKLEY DR, TALLAHASSEE, FL 32305-6737
(850) 524-1556
Mailing address
3101 RACKLEY DR, TALLAHASSEE, FL 32305-6737
(850) 524-1556
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
FL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
172V00000X
Community Health Worker
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003235800
—
FL
05
—
0032358001
—
FL
Enumeration date
07/22/2013
Last updated
07/22/2013
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