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Jacquelyn Hall-davis,m.d. Ltd
Child & Adolescent Psychiatry Physician in O Fallon, Illinois
NPI 1699173542

Jacquelyn Hall-davis,m.d. Ltd is a Child & Adolescent Psychiatry Physician based in O Fallon, IL and is specialized in Child & Adolescent Psychiatry. Jacquelyn Hall-davis,m.d. Ltd practices in O Fallon, IL. The NPI Number for Jacquelyn Hall-davis,m.d. Ltd is 1699173542 and holds a License No. 036080270 (Illinois).

The current practice location address for Jacquelyn Hall-davis,m.d. Ltd is 1669 Windham Way, O Fallon, IL and can be reached out via phone at 618-622-9240 and via fax at 618-622-9241.

Location: 1669 Windham Way, O Fallon, IL, 62269-3072
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699173542
Provider Name
Jacquelyn Hall-davis,m.d. Ltd
Credential
Provider Entity Type
Organization
Address
1669 Windham Way, O Fallon, IL, 62269-3072
Phone Number
618-622-9240
Fax Number
618-622-9241
Provider Enumeration Date
12/09/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
540653 01 IL TRICARE
036080270 05 IL
institution
Provider Business Practice Location Address Details
Address
1669 Windham Way
City
O Fallon
State
Illinois
Zip
62269-3072
Phone Number
618-622-9240
Fax Number
618-622-9241
person
Provider Business Mailing Address Details
Address
1669 Windham Way
City
O Fallon
State
Illinois
Zip
62269-3072
Phone Number
618-622-9240
Fax Number
618-622-9241
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
036080270 (Illinois)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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