Provider Demographics
NPI:1700012721
Name:HALL, BEULAH WAMPLER (MS)
Entity Type:Individual
Prefix:
First Name:BEULAH
Middle Name:WAMPLER
Last Name:HALL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1985 TATE BLVD SE
Mailing Address - Street 2:STE. 152
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-1469
Mailing Address - Country:US
Mailing Address - Phone:828-304-9096
Mailing Address - Fax:828-304-0213
Practice Address - Street 1:1985 TATE BLVD SE
Practice Address - Street 2:STE. 152
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-1469
Practice Address - Country:US
Practice Address - Phone:828-304-9096
Practice Address - Fax:828-304-0213
Is Sole Proprietor?:No
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor