| Dr Susan Hall | |
|
832 Arbutus Dr Columbia SC 29205-2104 | |
| (808) 651-4860 | |
| Not Available |
| Full Name | Dr Susan Hall |
|---|---|
| Speciality | Psychologist |
| Location | 832 Arbutus Dr, Columbia, South Carolina |
| Authorized Official Name and Position | Susan Lucille Hall (PSYCHOLOGIST) |
| Authorized Official Contact | 8086514860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susan Hall 832 Arbutus Dr Columbia SC 29205-2104 Ph: (808) 651-4860 | Dr Susan Hall 832 Arbutus Dr Columbia SC 29205-2104 Ph: (808) 651-4860 |
| NPI Number | 1861256877 |
|---|---|
| Provider Enumeration Date | 02/09/2024 |
| Last Update Date | 02/09/2024 |
| Certification Date | 02/09/2024 |
| Medicare PECOS PAC ID | 2264879485 |
|---|---|
| Medicare Enrollment ID | O20240325000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861256877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan Hall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588799373 PECOS PAC ID: 1052209210 Enrollment ID: I20040419000038 |
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