Healthcare Provider Details

I. General information

NPI: 1790510089
Provider Name (Legal Business Name): DANIELLE LILA HALL AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DANIELLE GRIER

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2748 SAN PABLO AVE
BERKELEY CA
94702-2240
US

IV. Provider business mailing address

2748 SAN PABLO AVE
BERKELEY CA
94702-2240
US

V. Phone/Fax

Practice location:
  • Phone: 510-841-0681
  • Fax:
Mailing address:
  • Phone: 510-841-0681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU3951
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU3951
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: