Provider Demographics
NPI:1730419649
Name:HALL, STEPHANIE FRANCES (PHD , LPC)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:FRANCES
Last Name:HALL
Suffix:
Gender:F
Credentials:PHD , LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 AVERY AVE
Mailing Address - Street 2:5B
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-5679
Mailing Address - Country:US
Mailing Address - Phone:732-456-4976
Mailing Address - Fax:
Practice Address - Street 1:4400 ROUTE 9 S
Practice Address - Street 2:SUITE 1000
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-1383
Practice Address - Country:US
Practice Address - Phone:800-300-4079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-28
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00399900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional