Individual
MRS. AYESHA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
39 S MAIN ST, MULLICA HILL, NJ 08062-9402
(917) 703-2384
Mailing address
303 MONTGOMERY DR, MANTUA, NJ 08051-1215
(917) 703-2384
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1046269
NJ
103TS0200X
School Psychologist
898031141
NY
Other
Enumeration date
11/27/2016
Last updated
02/03/2017
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