Jacquelyn Hall-davis,m.d. Ltd is a Psychiatry | Child & Adolescent Clinic in O Fallon, Illinois. It is located at 1669 Windham Way, Suite B, O Fallon, IL and its contact number is 618-622-9240. The authorized person for Jacquelyn Hall-davis,m.d. Ltd is Dr. Jacquelyn Hall-davis
who is President of the clinic and his/her contact number is 618-622-9240. The primary license number for Jacquelyn Hall-davis,m.d. Ltd is 036080270 (Child & Adolescent Psychiatry) in Illinois. Jacquelyn Hall-davis,m.d. Ltd Clinic has mental health professionals having additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Clinic Profile:
Jacquelyn Hall-davis,m.d. Ltd Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Jacquelyn Hall-davis,m.d. Ltd
Specialization:
Child & Adolescent
Clinic Address:
1669 Windham Way, Suite B, O Fallon, Illinois, 62269-3072
Phone:
618-622-9240
Fax:
618-622-9241
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Jacquelyn Hall-davis
Position:
President
Contact Number:
618-622-9240
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jacquelyn Hall-davis,m.d. Ltd clinic are as mentioned below.
NPI Number:
1699173542
NPI Enumeration Date:
09 Dec, 2014
NPI Last Update On:
09 Dec, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacquelyn Hall-davis,m.d. Ltd are as mentioned below.
Specialization
License Number
State
Status
Child & Adolescent Psychiatry
036080270
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
540653
Other
Illinois
Tricare
036080270
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jacquelyn Hall-davis,m.d. Ltd 1669 Windham Way, Suite B O Fallon, Illinois
Zip:
62269-3072
Phone Number:
618-622-9240
Fax Number:
618-622-9241
Patients can reach Jacquelyn Hall-davis,m.d. Ltd at 1669 Windham Way, Suite B, O Fallon, Illinois or can call to book an appointment on 618-622-9240. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.