Individual
DR. HEIDI PEDDELL HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
34 COURT ST, PLYMOUTH, MA 02360-3825
(508) 747-6279
(508) 747-1179
Mailing address
34 COURT ST, PLYMOUTH, MA 02360-3825
(508) 747-6279
(508) 747-1179
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6652
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006721
HARVARD PILGRIM
MA
01
—
W05521
BC BS
MA
Enumeration date
03/26/2007
Last updated
07/08/2007
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