Provider Demographics
NPI:1386895852
Name:HALL, LORETTA ANN (MSW)
Entity type:Individual
Prefix:MS
First Name:LORETTA
Middle Name:ANN
Last Name:HALL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 LOIS LN
Mailing Address - Street 2:
Mailing Address - City:SUISUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94585-1842
Mailing Address - Country:US
Mailing Address - Phone:707-437-1831
Mailing Address - Fax:707-437-1809
Practice Address - Street 1:103 BODIN CIRCLE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94535
Practice Address - Country:US
Practice Address - Phone:707-437-1831
Practice Address - Fax:707-437-1809
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical