Individual
DAVID CARL HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
715 E GRAND BLVD, CORONA, CA 92879-2228
(951) 371-3651
Mailing address
715 E GRAND BLVD, CORONA, CA 92879-2228
(951) 371-3651
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 12048
CA
103TF0200X
Forensic Psychologist
PSY 12048
CA
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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