Provider Demographics
NPI:1306125927
Name:HALLORAN, JOANNE CLARA (ND)
Entity type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:CLARA
Last Name:HALLORAN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 BLOWERS RD
Mailing Address - Street 2:
Mailing Address - City:GLOVERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12078-6903
Mailing Address - Country:US
Mailing Address - Phone:518-369-7080
Mailing Address - Fax:
Practice Address - Street 1:62 BEEKMAN ST
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-4026
Practice Address - Country:US
Practice Address - Phone:518-369-7080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-12
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099.0000114175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath