Provider Demographics
NPI:1033087648
Name:HALL, BEVERLY ANN (CHILDCARE PROF)
Entity type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:ANN
Last Name:HALL
Suffix:
Gender:F
Credentials:CHILDCARE PROF
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Mailing Address - Street 1:200 W 20TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114-2812
Mailing Address - Country:US
Mailing Address - Phone:501-773-2594
Mailing Address - Fax:501-904-2392
Practice Address - Street 1:200 W 20TH ST
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-2812
Practice Address - Country:US
Practice Address - Phone:501-773-2594
Practice Address - Fax:501-904-2392
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-27
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AR20-07138352080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral PediatricsGroup - Multi-Specialty