MEDICARE: DR. JAMES HALL PHD

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
1	101YP1600X	Pastoral Counselor	200438	OK
2	246Z00000X	Other Specialist/Technologist	2141	OK

General Provider Information

NPI Number	:	1467530717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES HALL PHD

Provider Business Mailing Address
First Line	:	900 E HARTFORD AVE STE A
Second Line	:
City	:	PONCA CITY
State	:	OK
Zip	:	74601-2011
Country	:	US
Telephone Number	:	580-762-4103
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 E HARTFORD AVE STE A
Second Line	:
City	:	PONCA CITY
State	:	OK
Zip	:	74601-2011
Country	:	US
Telephone Number	:	580-762-4103
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	09/11/2025

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Directions to “ DR. JAMES HALL PHD” Practice Location

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