NPI 1053101899
Shannon Lea Hall, BA
Practice location
- Address
- 1004 Republic St, Ardmore, OK 73401-4555
- Phone
- (580) 768-3240
- Fax
- (580) 768-3240
- Mailing address
- 144 London Ln, Healdton, OK 73438-3247
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1053101899
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 May 2025
- Record last updated
- 6 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.