Keith Fallon, PSY.D., P.C.

Psychologist · Conyers, GA

Organization Active NPI

NPI number 1801947569

Practice location

1100 Green St SW
Conyers, GA 30012-5220
Phone
(404) 502-5824

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NPI record

NPI
1801947569
Entity type
Organization (Type 2)
Enumeration date
January 16, 2007
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X PSY002856 GA

Mailing address

PO Box 1790
Conyers, GA 30012-7964
Phone
(404) 502-5824

Authorized official

Name
Dr. Keith James Fallon, PSY.D.
Title
CEO
Phone
(404) 502-5824

About Keith Fallon, PSY.D., P.C.

Keith Fallon, PSY.D., P.C. is a healthcare organization 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 1801947569 was assigned on January 16, 2007 and the record was last updated on August 22, 2020.

Keith Fallon, PSY.D., P.C. lists a license in the registry: #PSY002856 (GA) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Keith James Fallon, PSY.D., CEO.

Frequently asked questions

What is the NPI number of Keith Fallon, PSY.D., P.C.?

The NPI number is 1801947569.

What is the phone number of Keith Fallon, PSY.D., P.C.?

The phone number listed for the practice location is (404) 502-5824.

Where is Keith Fallon, PSY.D., P.C. located?

1100 Green St SW, Conyers, GA 30012-5220.

What is the taxonomy code for Keith Fallon, PSY.D., P.C.?

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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