| Doctor Name: | RICHARD FALLIN |
| NPI Number: | 1053457861 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.DIV. |
| License Number: | 3085 |
| Business Practice Address: | 1909 Commerce Ave Cullman, AL - 350556151 |
| Business Phone Number: | 2567344688 |
| Business Fax Number: | 2567365638 |
| Mailing Address: | 573 County Road 1659, CULLMAN |
| State: | AL |
| Postal Code: | 350587307 |
| Phone Number: | 2567961859 |
| Fax Number: | |
| NPI Enumeration Date: | 01/29/2007 |
| NPI Last Update Date: | 04/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3085 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |