Doctor Name: | DR. SALLY H FALWELL |
NPI Number: | 1548473689 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, PSYD |
License Number: | 4475 |
Business Practice Address: | 1120 S. Lincoln Ave Suite F Steamboat Springs, CO - 804871491 |
Business Phone Number: | 9708798875 |
Business Fax Number: | 9708719632 |
Mailing Address: | Po Box 881491, 1120 S. Lincoln Ave, Suite F STEAMBOAT SPRINGS |
State: | CO |
Postal Code: | 804881491 |
Phone Number: | 9708798875 |
Fax Number: | 9708719632 |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 4475 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |