Provider Demographics
NPI:1932206547
Name:HALL, JAMES E (PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:HALL
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:STATE OF HAWAII DEPT OF HEALTH KAUAI COMMUNITY MENTAL H
Mailing Address - Street 2:3 3212 KUHIO HIGHWAY
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1142
Mailing Address - Country:US
Mailing Address - Phone:808-274-3190
Mailing Address - Fax:808-274-3194
Practice Address - Street 1:KAUAI COMMUNITY MENTAL HEALTH CENTER
Practice Address - Street 2:3 3212 KUHIO HIGHWAY
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1142
Practice Address - Country:US
Practice Address - Phone:808-274-3190
Practice Address - Fax:808-274-3194
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIPSY297103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI57549Medicaid
HI101147Medicare ID - Type Unspecified
HI57549Medicaid