Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE JAMES FALLON JR., M.D., M.P.H.
Active Sole ProprietorDR. THEODORE JAMES FALLON JR., M.D., M.P.H. is a Psychoanalyst healthcare provider located in WAYNE, Pennsylvania. NPI 1538384003 is currently active in the NPPES registry. Verify at CMS.
Psychoanalyst · WAYNE, PA
Registration Details
- NPI Number
- 1538384003
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2007 (19.301960123051 yrs)
- Last Updated
- Aug 7, 2020
- Licenses
-
MD028700E (PA)MD028700E (PA)MD028700E (PA)MD028700E (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1050 KING OF PRUSSIA RDWAYNE, PA, 190872830Browse PA providers · Browse ZIP 19087
- Phone
- 6108277436
- Fax
- 6108277436
- Primary Specialty
-
Psychoanalyst
102L00000X
- Additional Specialty
- Psychiatry
- Additional Specialty
- Psychiatric Neurology
- Additional Specialty
- Psychoanalyst
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.