Provider Demographics
NPI:1194019950
Name:HALL, ANN ELIZABETH (LPC)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:ELIZABETH
Last Name:HALL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 W CRYSTAL PALACE PL
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-9031
Mailing Address - Country:US
Mailing Address - Phone:520-531-1265
Mailing Address - Fax:520-219-2701
Practice Address - Street 1:1255 W CRYSTAL PALACE PL
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85737-9031
Practice Address - Country:US
Practice Address - Phone:520-531-1265
Practice Address - Fax:520-219-2701
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-08
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-13952101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional