Individual
MRS. DIANE B. HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
(913) 758-4280
Mailing address
915 9TH AVE, LEAVENWORTH, KS 66048-3657
(913) 651-1331
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00149
KS
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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