| Doctor Name: | MR. PETER MOISES FALCON |
| NPI Number: | 1508212812 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PLMHP |
| License Number: | 10678 |
| Business Practice Address: | 2302 8th Ave Ste 5 Plattsmouth, NE - 680482365 |
| Business Phone Number: | 4022960531 |
| Business Fax Number: | |
| Mailing Address: | 5429 N 109th Plz Apt 1138, OMAHA |
| State: | NE |
| Postal Code: | 681644417 |
| Phone Number: | 4029803594 |
| Fax Number: | |
| NPI Enumeration Date: | 05/05/2016 |
| NPI Last Update Date: | 05/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 10678 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |