Provider Demographics
NPI:1144378878
Name:HALL, BARBARA G (PHD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:G
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:PO BOX 132828
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77393-2828
Mailing Address - Country:US
Mailing Address - Phone:281-444-2208
Mailing Address - Fax:281-363-9475
Practice Address - Street 1:25511 BUDDE RD STE 2802
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-2388
Practice Address - Country:US
Practice Address - Phone:281-444-2208
Practice Address - Fax:281-363-9475
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22865103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128408502Medicaid
TX128408502Medicaid
TXR58309Medicare UPIN