Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keith Fallon, Psy D , PC

Organization Psychologist · NPI 1801947569

Keith Fallon, Psy D , PC is a Psychologist in Conyers, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1100 Green St SW
Conyers, GA 30012-5220
Phone: (404) 502-5824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY002856 (GA)

Record details

NPI number1801947569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Fallon — Ceo · (404) 502-5824
NPI enumeratedJanuary 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 1790, Conyers, GA 30012-7964

Other providers in Conyers