Individual
DR. MELISSA ANNE FALLON-KORB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
53 FAIR ST, OTEGO, NY 13825-2306
(607) 287-1019
Mailing address
53 FAIR ST, OTEGO, NY 13825-2306
(607) 287-1019
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016494-1
NY
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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