Individual provider · Type 1 NPI
Deric Antoine Hall
Marriage & Family Therapist · Tampa, FL
Practice location
20443 Autumn Fern Ave
Tampa, FL 33647-2967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | IMT3706 (FL) |
Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…
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About NPI 1174208524
Deric Antoine Hall's National Provider Identifier is 1174208524, issued on Jun 21, 2023. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Tampa, FL. The record was last updated on Jun 21, 2023.