Organization · Type 2 NPI

Performance Fallon Inc

Clinical Psychologist · Prescott, AZ

NPI number 1851783187 Active

Practice location

143 E Merritt St
Prescott, AZ 86301-2028

Fax (928) 460-4443

Mailing address

261 Jacob Ln
Prescott, AZ 86303-5844

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X4578 (AZ)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1851783187

Performance Fallon Inc's National Provider Identifier is 1851783187, issued on Feb 24, 2015. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Prescott, AZ. The record was last updated on Feb 24, 2015.