| Dr. Morgain Hall, Pllc | |
|
1000 73rd Street Suite 5 Windsor Heights IA 50324-1321 | |
| (515) 222-1175 | |
| (515) 222-0953 |
| Full Name | Dr. Morgain Hall, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1000 73rd Street, Windsor Heights, Iowa |
| Authorized Official Name and Position | Gwendolyn Morgain Hall (MEMBER/MANAGER) |
| Authorized Official Contact | 5152221175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Morgain Hall, Pllc 1000 73rd Street Suite 5 Windsor Heights IA 50324-1321 Ph: (515) 222-1175 | Dr. Morgain Hall, Pllc 1000 73rd Street Suite 5 Windsor Heights IA 50324-1321 Ph: (515) 222-1175 |
| NPI Number | 1538416771 |
|---|---|
| Provider Enumeration Date | 08/07/2012 |
| Last Update Date | 08/07/2012 |
| Medicare PECOS PAC ID | 3779734504 |
|---|---|
| Medicare Enrollment ID | O20121103000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538416771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 001053 (Iowa) | Primary |
| Provider Name | Gwendolyn M Hall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083897615 PECOS PAC ID: 7315027588 Enrollment ID: I20080104000367 |
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