Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist | 2600036767 | NV |
NPI | 1003237207 |
---|---|
Provider Name | Chenoa Hall |
First Address | Las Vegas, NV 89144 |
Second Address | Las Vegas, NV 89146-1260 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2013 |
Last Update Date | 16/12/2013 |