Organization
SHAMIKA HALL, PH.D. & ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAMIKA YOIONDE HALL PH.D. (LICENSED PSYCHOLOGIST)
(269) 588-0750
Entity
Organization
Contact information
Practice address
7901 S. 12TH ST., SUITE 201, PORTAGE, MI 49024
(269) 588-0750
(269) 324-5822
Mailing address
7901 S. 12TH ST., SUITE 201, PORTAGE, MI 49024
(269) 588-0750
(269) 324-5822
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014087
MI
251S00000X
Community/Behavioral Health Agency
6301014087
MI
Other
Enumeration date
05/26/2011
Last updated
03/16/2015
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