Provider Demographics
NPI:1699907006
Name:HALL, STEPHEN DAVID JR (PSYD, LMFT, LPC)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:DAVID
Last Name:HALL
Suffix:JR
Gender:M
Credentials:PSYD, LMFT, LPC
Other - Prefix:DR
Other - First Name:DAVID
Other - Middle Name:
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD, LMFT, LPC
Mailing Address - Street 1:PO BOX 50850
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37950-0850
Mailing Address - Country:US
Mailing Address - Phone:865-588-1718
Mailing Address - Fax:
Practice Address - Street 1:305 WESTFIELD RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-4824
Practice Address - Country:US
Practice Address - Phone:865-558-1718
Practice Address - Fax:865-415-3311
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2018-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2587101YP2500X
TN852106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional