Individual
DR. SHELLY MARIE HALL
Active
Individual
DR. SHELLY MARIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
382
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454557
—
ND
01
—
26241
BLUE CROSS/BLUE SHIELD
ND
Enumeration date
02/27/2006
Last updated
03/19/2020
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