Hall, Thomas Carroll

Hall, Thomas Carroll is an individual health care provider with primary practice located at 1201 S Alma School Rd Suite 11750, Mesa AZ 85210-2008. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hall, Thomas Carroll can be contacted via phone (480) 926-1826.

Contact Information

Primary practice address
1201 S Alma School Rd Suite 11750 Mesa AZ 85210-2008
Fax: (480) 926-1162
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-0017 Arizona

Profile Details

NPI number 1457345472
LBN Legal business name Hall, Thomas Carroll
Credentials M.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457345472 NPPES
Arizona Other 229595 OTHER PROVIDER ID
Arizona Other LCSW-0017 OTHER PROVIDER ID

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