Individual
KIMBERLY FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A./C.A.S
Contact information
Practice address
2972 PIKE RD, BATAVIA, NY 14020-9550
(716) 474-4268
Mailing address
2972 PIKE RD, BATAVIA, NY 14020-9550
(716) 474-4268
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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