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Contact Information

LAURIE HALL, PHD
3301 N BALLARD RD STE C
APPLETON, WI54911-9002
 Phone: 920-202-3954
 Fax: 920-202-3964
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LAURIE HALL · (Female)

NPI Number 1407989791
Status Active
Credentials PHD
Entity Individual
Enumeration date 03/14/2007
Last updated 11/18/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # 613
  • NY License # 15823
  • WI License # 2719-057
  • WI Medicaid 1407989791
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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