Provider Demographics
NPI:1013069103
Name:HALL, KARYN DESA (PHD)
Entity type:Individual
Prefix:DR
First Name:KARYN
Middle Name:DESA
Last Name:HALL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 GESSNER RD
Mailing Address - Street 2:SUITE 750
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-4289
Mailing Address - Country:US
Mailing Address - Phone:713-973-2800
Mailing Address - Fax:
Practice Address - Street 1:820 GESSNER RD
Practice Address - Street 2:SUITE 750
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-4289
Practice Address - Country:US
Practice Address - Phone:713-973-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23192103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical