Individual
DR. KATHERINE D FALWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
6867 SOUTHPOINT DR N, JACKSONVILLE, FL 32216-8043
(904) 521-6266
(904) 212-0309
Mailing address
6867 SOUTHPOINT DR N, JACKSONVILLE, FL 32216-8043
(904) 521-6266
(904) 212-0309
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7735
FL
103TC2200X
Clinical Child & Adolescent Psychologist
7735
FL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
7735
FL
Other
Enumeration date
01/26/2007
Last updated
08/20/2015
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