Individual
SHANICE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 FRANKLIN ST, HAMPTON, VA 23669-3568
(757) 727-2400
Mailing address
123 WHIMBREL DR, SUFFOLK, VA 23435-3715
(757) 371-4618
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008661
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202008661
—
VA
Enumeration date
01/22/2018
Last updated
01/22/2018
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