Individual
HEATHER JON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4650 W SUNSET BLVD MS#53, LOS ANGELES, CA 90027-6062
(323) 361-8866
Mailing address
4650 W SUNSET BLVD MS#53, LOS ANGELES, CA 90027-6062
(323) 361-8866
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY25816
CA
Other
Enumeration date
07/16/2007
Last updated
06/23/2016
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