Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deric Antoine Hall

Individual provider Marriage & Family Therapist · NPI 1174208524

Deric Antoine Hall is a Marriage & Family Therapist in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

20443 Autumn Fern Ave
Tampa, FL 33647-2967
Phone: (727) 479-5842
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence IMT3706 (FL)

Record details

NPI number1174208524
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 21, 2023
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023

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