Organization
TINA HALL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA HALL MA CCC-SLP (PRESIDENT/CEO)
(479) 430-6398
Entity
Organization
Contact information
Practice address
1518 HIGHWAY 71 SE, BOX 76, MOUNTAINBURG, AR 72946-3000
(479) 430-6398
Mailing address
1518 HIGHWAY 71 SE, BOX 76, MOUNTAINBURG, AR 72946-3000
(479) 430-6398
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2310
AR
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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