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NPI Code Detail

MEDICARE: MRS. KRISTIN M. HALL LMHC

MEDICARE: MRS. KRISTIN M. HALL LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorPC013883PA
2101YM0800XMental Health Counselor6631MA

General Provider Information

NPI Number : 1508032145
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTIN M. HALL LMHC
Provider Business Mailing Address
First Line : 2557 MASSACHUSETTS AVE
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02140-1020
Country : US
Telephone Number : 860-614-2571
Fax Number :
Provider Business Practice Location Address
First Line : 2557 MASSACHUSETTS AVE
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02140-1020
Country : US
Telephone Number : 860-614-2571
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2008
Last Update Date : 10/28/2021

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