Individual
DR. LEROY RICHARD HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
102 W KENWOOD AVE STE 120, DECATUR, IL 62526-6380
(217) 876-2836
Mailing address
102 W KENWOOD AVE STE 120, DECATUR, IL 62526-6380
(217) 876-2836
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/29/2006
Last updated
04/30/2010
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