Individual
DR. JOHN MARK HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
19 CONCORD ST., GLASTONBURY, CT 06033
(860) 633-8440
(860) 652-8584
Mailing address
19 CONCORD ST., GLASTONBURY, CT 06033
(860) 633-8440
(860) 652-8584
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
CT001579
CT
Other
Enumeration date
10/02/2006
Last updated
11/10/2010
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