Individual
BRENDA B HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 TRENT RD, A, NEW BERN, NC 28562-5706
(252) 633-2501
(252) 633-2501
Mailing address
4508 MONCKS CT., NEW BERN, NC 28562
(252) 637-2808
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
955
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
561481722
FEDERAL TAX ID
NC
05
—
7438303
—
NC
Enumeration date
06/26/2007
Last updated
07/09/2007
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