Individual
ROBERT B HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3019 COUNTY COMPLEX DR, CANANDAIGUA, NY 14424-9505
(585) 396-4363
(585) 396-4993
Mailing address
122 CHADBOURNE RD, ROCHESTER, NY 14618-1137
(585) 271-6972
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
008194
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014003729
EXCELLUS
NY
05
—
06800008194
—
NY
01
—
103283EU
PREFERRED CARE
NY
01
—
3109089
VALUE OPTIONS
NY
01
—
EM
EXCELLUS
NY
Enumeration date
08/31/2006
Last updated
09/19/2011
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