Individual
MR. JAY STEVEN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TLLP
Contact information
Practice address
44899 CENTRE CT, SUITE 102, CLINTON TOWNSHIP, MI 48038-5510
(586) 792-1654
Mailing address
34194 NORTHLAND DR, LIVONIA, MI 48152-1266
(124) 892-4093
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015064
MI
Other
Enumeration date
06/25/2012
Last updated
02/05/2014
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