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NPI Code Detail

MEDICARE: BETH HERSHKOWITZ HALL, PH.D., P.A.

MEDICARE: BETH HERSHKOWITZ HALL, PH.D., P.A.
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
1103TC0700XClinical PsychologistPY4560FL

General Provider Information

NPI Number : 1922360114
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETH HERSHKOWITZ HALL, PH.D., P.A.
Provider Business Mailing Address
First Line : 6499 POWERLINE RD
Second Line : SUITE 209
City : FORT LAUDERDALE
State : FL
Zip : 33309-2069
Country : US
Telephone Number : 954-772-6677
Fax Number : 954-772-6711
Provider Business Practice Location Address
First Line : 6499 POWERLINE RD
Second Line : SUITE 209
City : FORT LAUDERDALE
State : FL
Zip : 33309-2069
Country : US
Telephone Number : 954-772-6677
Fax Number : 954-772-6711
Authorized Official
Title or Position : OWNER
Name : BETH HERSHKOWITZ HALL
Credential : PH.D.
Telephone Number : 954-772-6677
Provider Enumeration Date : 06/13/2012
Last Update Date : 06/13/2012

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