Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | CC00844 | MN |
Y | 103TC0700X | Clinical Psychologist | CC00844 | MN |
NPI | 1003205709 |
---|---|
Provider Name | Sarah Hancock-Hall |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2015 |
Last Update Date | 16/12/2021 |