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Individual

DR. SUSAN PATRICIA HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
336 N BROADWAY, NYACK, NY 10960-1530
(845) 353-7273
(845) 353-7262
Mailing address
336 N BROADWAY, NYACK, NY 10960-1530
(845) 353-7273
(845) 353-7262

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
017541
NY

Other

Enumeration date
11/29/2011
Last updated
11/29/2011
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