Provider Demographics
NPI:1134255383
Name:HALL, ROSEMARY D (MS, EDS)
Entity type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:D
Last Name:HALL
Suffix:
Gender:F
Credentials:MS, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 PARKWAY AVE
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08628-3009
Mailing Address - Country:US
Mailing Address - Phone:609-882-4772
Mailing Address - Fax:609-882-5467
Practice Address - Street 1:1340 PARKWAY AVE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08628-3009
Practice Address - Country:US
Practice Address - Phone:609-882-4772
Practice Address - Fax:609-882-5467
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health