Provider Demographics
NPI:1639321979
Name:HALL, JANICE ANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:ANNE
Last Name:HALL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5750 RUFE SNOW DR.
Mailing Address - Street 2:SUITE 130
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180
Mailing Address - Country:US
Mailing Address - Phone:817-281-0101
Mailing Address - Fax:
Practice Address - Street 1:5750 RUFE SNOW DR STE 130
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-6140
Practice Address - Country:US
Practice Address - Phone:817-281-0101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-17
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25823103G00000X
TX3522106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist