Provider Demographics
NPI:1427113885
Name:FALKENBERRY, ALLISON ANN (MSW)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:ANN
Last Name:FALKENBERRY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 CENTERVILLE RD
Mailing Address - Street 2:BLDG. 5
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4349
Mailing Address - Country:US
Mailing Address - Phone:401-884-5810
Mailing Address - Fax:401-884-5647
Practice Address - Street 1:335 CENTERVILLE RD
Practice Address - Street 2:BLDG. 5
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4349
Practice Address - Country:US
Practice Address - Phone:401-884-5810
Practice Address - Fax:401-884-5647
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW01001101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health