Individual
MRS. STACEY DIANE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1209 E 9TH ST, BONHAM, TX 75418-4059
(812) 320-2115
Mailing address
3900 CHELSEA DR, MCKINNEY, TX 75070-6655
(812) 320-2115
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80425
TX
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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