Individual
FREDERICK HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1617 S 67TH AVE, PHOENIX, AZ 85043-7717
(623) 707-2251
Mailing address
13609 W CARIBBEAN LN, SURPRISE, AZ 85379-8329
(623) 584-2794
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4489
AZ
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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