Provider Demographics
NPI:1831224401
Name:HALL, DEBBEY LYNN
Entity type:Individual
Prefix:MRS
First Name:DEBBEY
Middle Name:LYNN
Last Name:HALL
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DEBBEY
Other - Middle Name:LYNN
Other - Last Name:CHASTAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4795 FRANKLIN BLVD SPC 67
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97403-2456
Mailing Address - Country:US
Mailing Address - Phone:541-746-6766
Mailing Address - Fax:
Practice Address - Street 1:1790 W 11TH AVE STE 290
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-3759
Practice Address - Country:US
Practice Address - Phone:541-686-1262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health