Healthcare Provider Details

I. General information

NPI: 1811247588
Provider Name (Legal Business Name): DELYN HALL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DELYN NORENE HALL

II. Dates (important events)

Enumeration Date: 09/11/2012
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 BLAIR PARK RD UNIT 206
WILLISTON VT
05495-8056
US

IV. Provider business mailing address

373 BLAIR PARK RD UNIT 206
WILLISTON VT
05495-8056
US

V. Phone/Fax

Practice location:
  • Phone: 802-391-0176
  • Fax:
Mailing address:
  • Phone: 802-391-0176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number097.0134120
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number119461
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: