Most Relevant Information
Provider Data
| NPI Number: | 1003256363 |
| Provider Name: | AMY L HALL PH.D |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | IMH11141 |
Most Important Dates
| Enumeration Date: | 07/01/2013 |
| Last Updated: | 07/01/2013 |
Provider Practice Location
1182 PELICAN BAY DR
DAYTONA BEACH
FL
321191381
Practice Location Phone/Fax
| Phone: | 3862276456 |
| Fax: |
Provider Mailing Location
1182 PELICAN BAY DR
DAYTONA BEACH
FL
321191381
Provider Mailing Phone/Fax
| Phone: | 3862276456 |
| Fax: |