Trecia Jean Hall, cna
Psychologist, Adult Development & Aging in Port Orange, FL. Individual provider (NPI-1).
NPI number1104635473
StatusActive
Last updated in NPPESJan 2, 2025
Details
- NPI
- 1104635473
- Entity type
- Individual (NPI-1)
- Name
- Trecia Jean Hall
- Credential
- cna
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 2, 2025
- Certification date
- Jan 2, 2025
- Last updated
- Jan 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TA0700X | Psychologist, Adult Development & Aging | – | – | Yes |
Practice location
5400 Coraci Blvd Apt 7202Port Orange, FL 32128-7581
Phone 352-718-4888
Mailing address
5400 Coraci Blvd Apt 7202Port Orange, FL 32128-7581
Phone 352-718-4888
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