John Reynolds Fullerton in Elizabethtown - Psychologist
John Reynolds Fullerton - NPI 1255431037
John Reynolds Fullerton is a Psychologist in Elizabethtown, Pennsylvania. John Reynolds Fullerton practices all healthcare services and medical treatments related to Psychologist. The NPI Number for John Reynolds Fullerton is 1255431037. The last update date is 2007-07-08.
John Reynolds Fullerton's current location address is 102 Timber Villa, Elizabethtown, Pennsylvania. You can contact this provider via phone number 7173671005. The mailing address for John Reynolds Fullerton is 102 Timber Villa, Elizabethtown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Reynolds Fullerton |
|---|---|
| Address | 102 Timber Villa, Elizabethtown, Pennsylvania |
| Phone Number | 7173671005 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.ED. |
NPI Number Detail
| NPI Number | 1255431037 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 102 Timber Villa |
|---|---|
| City | Elizabethtown |
| State | Pennsylvania (PA) |
| Post Code | 170229223 |
| Phone Number | 7173671005 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS001071L |
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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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What is the unique 10-digit identifier code issued to John Reynolds Fullerton by the Centers for Medicare & Medicaid Services?
The John Reynolds Fullerton has been assigned the NPI (National Provider Identifier) 1255431037 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of John Reynolds Fullerton?
The John Reynolds Fullerton is situated at 102 Timber Villa, in the city of Elizabethtown, state of PA, with the zip code 170229223.
What is John Reynolds Fullerton's area of expertise and its corresponding taxonomy classification?
The John Reynolds Fullerton's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did John Reynolds Fullerton receive its 1255431037 assignment from the Centers for Medicare & Medicaid Services?
The John Reynolds Fullerton was assigned its 1255431037 on 2006-09-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding John Reynolds Fullerton, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Reynolds Fullerton, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.