Provider Demographics
NPI:1003790833
Name:HALL, VELDA RON (CPRS)
Entity type:Individual
Prefix:
First Name:VELDA
Middle Name:RON
Last Name:HALL
Suffix:
Gender:M
Credentials:CPRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 14059
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45250-0059
Mailing Address - Country:US
Mailing Address - Phone:513-237-7575
Mailing Address - Fax:859-331-1385
Practice Address - Street 1:PO BOX 14059
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45250-0059
Practice Address - Country:US
Practice Address - Phone:513-237-7575
Practice Address - Fax:859-331-1385
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPS.006349175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist