Individual
MS. VICKI L HALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
313 WALNUT ST, WILMINGTON, NC 28401-4067
(910) 395-6183
Mailing address
4532 KIMBERLY WAY DR, WILMINGTON, NC 28403-2967
(910) 395-6183
(910) 350-3548
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2434
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046KA
BCBS
NC
05
—
6107056
—
NC
Enumeration date
06/03/2006
Last updated
02/28/2008
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