Provider Demographics
NPI:1376423699
Name:HALL, WILLIAM JR (PSYD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:HALL
Suffix:JR
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12965 SHELBORNE RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-9289
Mailing Address - Country:US
Mailing Address - Phone:317-910-2966
Mailing Address - Fax:
Practice Address - Street 1:12965 SHELBORNE RD
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-9289
Practice Address - Country:US
Practice Address - Phone:317-910-2966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty