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NPI Code Detail

MEDICARE: DEWANA HALL LPC

MEDICARE: DEWANA HALL LPC
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 CounselorPC002158PA
2101YA0400XAddiction (Substance Use Disorder) CounselorCAC2837PA

General Provider Information

NPI Number : 1407997000
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEWANA HALL LPC
Provider Business Mailing Address
First Line : PO BOX 21573
Second Line :
City : YORK
State : PA
Zip : 17402-0188
Country : US
Telephone Number : 717-940-9012
Fax Number : 717-928-4443
Provider Business Practice Location Address
First Line : 825 EDEN RD
Second Line :
City : LANCASTER
State : PA
Zip : 17601-4713
Country : US
Telephone Number : 717-462-7003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 08/10/2022

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Directions to “ DEWANA HALL LPC” Practice Location

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