Lookup NPI Numbers from the NPI Registry
NPI Profile for Dr FALLON KIMBLE in JOLIET, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Counseling |
103TC1900X | 62 | Psychologist, Clinical |
| NPI # | 1255997805 |
|
| Status | Active | |
| Credentials | PSYD (Doctor of Psychology) | |
| Entity | Individual | |
| Enumeration date | 05/18/2019 | |
| Last updated | 05/18/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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FALLON KIMBLE
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FALLON KIMBLE, PSYD