Healthcare Provider Details

I. General information

NPI: 1093642720
Provider Name (Legal Business Name): FALLON L COLLINS-JULIEN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2027 MARTIN LUTHER KING JR AVE SE
WASHINGTON DC
20020-7007
US

IV. Provider business mailing address

9800 GAY DR
UPPER MARLBORO MD
20772-4642
US

V. Phone/Fax

Practice location:
  • Phone: 202-506-5529
  • Fax:
Mailing address:
  • Phone: 301-979-2413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLG200004680
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: