Individual
MR. KIM REGINALD HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
5820 YORK RD, SUITE 201, BALTIMORE, MD 21212-3610
(410) 800-2169
(410) 777-8742
Mailing address
5820 YORK RD, SUITE 201, BALTIMORE, MD 21212-3610
(410) 800-2169
(410) 777-8742
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
05720
MD
Other
Enumeration date
07/21/2010
Last updated
08/21/2016
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