Individual
SHIRLEY JEAN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
4651 SALISBURY RD STE 400, JACKSONVILLE, FL 32256-6187
(904) 661-0020
(904) 337-4724
Mailing address
1948 MELROSE PLANTATION DR, JACKSONVILLE, FL 32223-5545
(904) 337-4289
(904) 337-4724
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9836
FL
Other
Enumeration date
11/30/2017
Last updated
12/07/2020
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