Provider Demographics
NPI:1427412170
Name:JAMES M MCFALLS
Entity Type:Organization
Organization Name:JAMES M MCFALLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:W JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCFALLS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:484-688-3833
Mailing Address - Street 1:212 IDRIS RD
Mailing Address - Street 2:C-2
Mailing Address - City:MERION STATION
Mailing Address - State:PA
Mailing Address - Zip Code:19066-1633
Mailing Address - Country:US
Mailing Address - Phone:484-688-3833
Mailing Address - Fax:
Practice Address - Street 1:212 IDRIS RD
Practice Address - Street 2:C-2
Practice Address - City:MERION STATION
Practice Address - State:PA
Practice Address - Zip Code:19066-1633
Practice Address - Country:US
Practice Address - Phone:484-688-3833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-08
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003686-L103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty