Keith James Fallon, PSY.D.
Psychologist · Conyers, GA
Practice location
1100 Green St SWConyers, GA 30012-5220
- Phone
- (404) 502-5824
NPI record
- NPI
- 1770635401
- Entity type
- Individual (Type 1)
- Enumeration date
- January 16, 2007
- Last updated
- January 21, 2015
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X |
PSY002856 | GA |
Mailing address
PO Box 1790Conyers, GA 30012-7964
- Phone
- (404) 502-5824
About Dr. Fallon
Keith James Fallon, PSY.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 1100 Green St SW, Conyers, GA 30012-5220. The NPI number 1770635401 was assigned on January 16, 2007 and the record was last updated on January 21, 2015.
Dr. Fallon lists a license in the registry: #PSY002856 (GA) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Keith James Fallon, PSY.D.?
The NPI number is 1770635401.
What is the phone number of Dr. Fallon?
The phone number listed for the practice location is (404) 502-5824.
Where is Dr. Fallon located?
1100 Green St SW, Conyers, GA 30012-5220.
What is the taxonomy code for Dr. Fallon?
The primary taxonomy code is 103T00000X – Psychologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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