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NPI Code Detail

MEDICARE: MR. JULIAN MYRON HALL

MEDICARE:  MR. JULIAN MYRON HALL
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 Counselor

General Provider Information

NPI Number : 1386403012
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JULIAN MYRON HALL
Provider Business Mailing Address
First Line : 4201 MAIN ST FRNT DOOR
Second Line :
City : PITTSBURGH
State : PA
Zip : 15224-1540
Country : US
Telephone Number : 717-271-8767
Fax Number :
Provider Business Practice Location Address
First Line : 4201 MAIN ST FRNT DOOR
Second Line :
City : PITTSBURGH
State : PA
Zip : 15224-1540
Country : US
Telephone Number : 717-271-8767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2024
Last Update Date : 03/15/2024

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Directions to “ MR. JULIAN MYRON HALL ” Practice Location

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