Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0700X | Adult Development & Aging Psychologist | ||
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
Y | 103TM1800X | Intellectual & Developmental Disabilities |
NPI | 1194297796 |
---|---|
Provider Name | Alonnie Felene Hall |
First Address | North Brunswick, NJ 08902-2558 |
Second Address | Somerset, NJ 08873-2330 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2018 |
Last Update Date | 19/12/2018 |