Provider Demographics
NPI:1356475354
Name:JOHN FALBO PH.D.
Entity Type:Organization
Organization Name:JOHN FALBO PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:FALBO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:610-867-5744
Mailing Address - Street 1:545 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-5810
Mailing Address - Country:US
Mailing Address - Phone:610-867-5744
Mailing Address - Fax:610-867-8510
Practice Address - Street 1:545 MAIN ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-5810
Practice Address - Country:US
Practice Address - Phone:610-867-5744
Practice Address - Fax:610-867-8510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007224-L103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty