Individual
CORY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA PSYCHOLOGY
Contact information
Practice address
3171 CEDAR GROVE RD, SHEPHERDSVILLE, KY 40165-9505
(502) 802-8882
Mailing address
3171 CEDAR GROVE RD, SHEPHERDSVILLE, KY 40165-9505
(502) 802-8882
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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