Provider Demographics
NPI:1407918030
Name:HALL, HEATHER MORSE (MD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:MORSE
Last Name:HALL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:19 FRIENDSHIP ST
Mailing Address - Street 2:SUITE G-20
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-2200
Mailing Address - Country:US
Mailing Address - Phone:401-845-4340
Mailing Address - Fax:401-845-4359
Practice Address - Street 1:19 FRIENDSHIP ST
Practice Address - Street 2:SUITE G-20
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-2200
Practice Address - Country:US
Practice Address - Phone:401-845-4340
Practice Address - Fax:401-845-4359
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2011-10-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2252102084P0800X
RI123952084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry