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Individual

JOHN WESLEY HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2157 MCCLINTOCK RD, CHARLOTTE, NC 28205-5141
(704) 258-5553
(704) 344-0078
Mailing address
2129 E 7TH ST, CHARLOTTE, NC 28204-3337
(704) 258-5553

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2457
NC
103TH0004X
Health Psychologist
2457
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6000513
NC
Enumeration date
10/19/2005
Last updated
12/05/2022
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