Individual provider · Type 1 NPI
Shantiela Hall
Health Service Psychologist · St. Louis, MO
Practice location
1238 Oxford Hill Ct Apt 9
St. Louis, MO 63146-5721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | 168641 (MO) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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About NPI 1740844844
Shantiela Hall's National Provider Identifier is 1740844844, issued on Apr 24, 2019. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in St. Louis, MO. The record was last updated on Apr 24, 2019.