Hall, Matthew
Hall, Matthew is an sole proprietor health care provider with primary practice located at 4756 Banning Ave Ste 208 , White Bear Lake MN 55110-3206. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Hall, Matthew can be contacted via phone (651) 505-0851.Contact Information
Primary practice address
4756 Banning Ave Ste 208
White Bear Lake MN 55110-3206
Phone: (651) 505-0851
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP6332 | Minnesota |
Profile Details
| NPI number | 1669039764 |
|---|---|
| LBN Legal business name | Hall, Matthew |
| Credentials | PH.D., LP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2019 |
| Last updated | Apr 22nd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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