Individual provider · Type 1 NPI

Keith James Fallon, PSY.D.

Psychologist · Conyers, GA

NPI number 1770635401 Active

Practice location

1100 Green St SW
Conyers, GA 30012-5220

Mailing address

PO Box 1790
Conyers, GA 30012-7964

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY002856 (GA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1770635401

Keith James Fallon, PSY.D.'s National Provider Identifier is 1770635401, issued on Jan 16, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Conyers, GA. The record was last updated on Jan 21, 2015.