Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 23192 | TX |
Y | 103TC0700X | Clinical Psychologist | 23192 | TX |
NPI | 1013069103 |
---|---|
Provider Name | Dr. Karyn Desa Hall |
First Address | Houston, TX 77024-4289 |
Second Address | Houston, TX 77024-4289 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2007 |
Last Update Date | 08/07/2007 |