MEDICARE: DR. JANET LYNN HALLMAN PH. D.

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	103TC0700X	Clinical Psychologist	15209	TX

General Provider Information

NPI Number	:	1659539005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET LYNN HALLMAN PH. D.

Provider Business Mailing Address
First Line	:	9288 HUNTINGTON SQ
Second Line	:	SUITE 100
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-4366
Country	:	US
Telephone Number	:	817-503-9500
Fax Number	:	817-503-9506

Provider Business Practice Location Address
First Line	:	9288 HUNTINGTON SQ
Second Line	:	SUITE 100
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-4366
Country	:	US
Telephone Number	:	817-503-9500
Fax Number	:	817-503-9506

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

Provider Enumeration Date	:	05/31/2008
Last Update Date	:	05/31/2008

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