Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 2018037203 | MO |
Y | 103TC0700X | Clinical Psychologist | 2018037203 | MO |
NPI | 1003272659 |
---|---|
Provider Name | Yoshiko Hall |
First Address | Saint Louis, MO 63117-1265 |
Second Address | Saint Louis, MO 63117-1265 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2016 |
Last Update Date | 06/01/2022 |