Pamela R Fuller in Evanston - Psychologist

Pamela R Fuller - NPI 1053469452

Pamela R Fuller is a Psychologist in Evanston, . Pamela R Fuller practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Pamela R Fuller is 1053469452. The last update date is 2007-07-08.

Pamela R Fuller's current location address is 724 Front Street Suite 230, Evanston, . You can contact this provider via phone number 3077896773 and fax number 3077893244. The mailing address for Pamela R Fuller is 724 Front Street Suite 230, Evanston, . To know further, please read the information below!

Provider Profile Detail

Provider Name Pamela R Fuller
Address 724 Front Street Suite 230, Evanston,
Phone Number 3077896773
Fax Number 3077893244
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1053469452
Provider Enumeration Date 2007-01-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 724 Front Street Suite 230
City Evanston
State (WY)
Post Code 82930
Phone Number 3077896773
Fax Number 3077893244

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 307
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Pamela R Fuller

What is the unique identification code assigned to Pamela R Fuller by the Centers for Medicare & Medicaid Services?

The Pamela R Fuller has been issued the NPI (National Provider Identifier) 1053469452. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Pamela R Fuller's facilities are situated?

The facilities of Pamela R Fuller are physically located at the following address: 724 Front Street Suite 230, Evanston, WY, 82930.

What is Pamela R Fuller's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Pamela R Fuller is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.

When did Pamela R Fuller receive its 1053469452 assignment?

The Pamela R Fuller was assigned its 1053469452 on 2007-01-08, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Pamela R Fuller last refreshed?

The information related to the Pamela R Fuller, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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