Individual
REBA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 MAIN ST., PO BOX #2, OAKLAND, KY 42159-9701
(615) 745-9004
Mailing address
102 MAIN ST, PO BOX #2, OAKLAND, KY 42159-9701
(615) 745-9004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
294521
KY
235Z00000X
Speech-Language Pathologist
Primary
306211
KY
Other
Enumeration date
09/27/2024
Last updated
07/26/2026
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