Individual
DR. MATTHEW HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LP
Contact information
Practice address
4756 BANNING AVE STE 208, WHITE BEAR LAKE, MN 55110-3206
(651) 505-0851
Mailing address
2504 8TH ST, SAINT PAUL, MN 55110-5722
(612) 327-6613
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6332
MN
Other
Enumeration date
05/23/2019
Last updated
04/22/2021
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