Provider Demographics
NPI:1568896983
Name:HALL, KATELYN (MS, CF-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KATELYN
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 PINE HAVEN RD
Mailing Address - Street 2:
Mailing Address - City:BAUXITE
Mailing Address - State:AR
Mailing Address - Zip Code:72011-9263
Mailing Address - Country:US
Mailing Address - Phone:501-557-5361
Mailing Address - Fax:501-557-5874
Practice Address - Street 1:500 PINE HAVEN RD
Practice Address - Street 2:
Practice Address - City:BAUXITE
Practice Address - State:AR
Practice Address - Zip Code:72011-9263
Practice Address - Country:US
Practice Address - Phone:501-557-5361
Practice Address - Fax:501-557-5874
Is Sole Proprietor?:No
Enumeration Date:2013-08-22
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist