1255648986 NPI number — NORMAN E HALL MS CAS SCHOOL PSYCH

Table of content: NORMAN E HALL MS CAS SCHOOL PSYCH (NPI 1255648986)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255648986 NPI number — NORMAN E HALL MS CAS SCHOOL PSYCH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HALL
Provider First Name:
NORMAN
Provider Middle Name:
E
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS CAS SCHOOL PSYCH
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255648986
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/01/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
204 JEFFERSON AVE
Provider Second Line Business Mailing Address:
GRANT COUNTY BOARD OF EDUCATION
Provider Business Mailing Address City Name:
PETERSBURG
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
26847
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-267-3595
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
204 JEFFERSON AVE
Provider Second Line Business Practice Location Address:
GRANT COUNTY BOARD OF EDUCATION
Provider Business Practice Location Address City Name:
PETERSBURG
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26847
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-267-3595
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/01/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TS0200X , with the licence number:  1652 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com