Individual
MRS. OLISA RENEE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3507 DIXON ST, TEMPLE HILLS, MD 20748-4214
(240) 383-0406
Mailing address
3507 DIXON ST, TEMPLE HILLS, MD 20748-4214
(240) 383-0406
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06555
MD
Other
Enumeration date
02/20/2012
Last updated
09/09/2015
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