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NPI Code Detail

MEDICARE: REYNALYN HALL LCSW

MEDICARE: REYNALYN HALL LCSW
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
11041C0700XClinical Social Worker58823TX

General Provider Information

NPI Number : 1659266401
Entity Type Code : Individual
Provider Name (Legal Business Name) : REYNALYN HALL LCSW
Provider Business Mailing Address
First Line : 6303 COMMERCE DR STE 175
Second Line :
City : IRVING
State : TX
Zip : 75063-2691
Country : US
Telephone Number : 214-940-9089
Fax Number :
Provider Business Practice Location Address
First Line : 6303 COMMERCE DR STE 175
Second Line :
City : IRVING
State : TX
Zip : 75063-2691
Country : US
Telephone Number : 214-940-9089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2025
Last Update Date : 06/11/2025

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Directions to “ REYNALYN HALL LCSW” Practice Location

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