Provider Demographics
NPI:1043229487
Name:FALLS, SABINE S (PHD)
Entity Type:Individual
Prefix:DR
First Name:SABINE
Middle Name:S
Last Name:FALLS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 RIDGEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:AR
Mailing Address - Zip Code:71701-2552
Mailing Address - Country:US
Mailing Address - Phone:870-836-2349
Mailing Address - Fax:
Practice Address - Street 1:530 JEFFERSON ST SW
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:AR
Practice Address - Zip Code:71701-3952
Practice Address - Country:US
Practice Address - Phone:870-836-2349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR98-19P103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5U147OtherPROVIDER # BCBS