Fuller Diagnostics, Llc in Anchorage - Clinical Child & Adolescent
Fuller Diagnostics, Llc - NPI 1326152711
Fuller Diagnostics, Llc is a Clinical Child & Adolescent in Anchorage, Alaska. Fuller Diagnostics, Llc practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Fuller Diagnostics, Llc is 1326152711. The last update date is 2012-03-22.
Fuller Diagnostics, Llc's current location address is Po Box 92303, Anchorage, Alaska. You can contact this provider via phone number 9075610552 and fax number 9075610562. The mailing address for Fuller Diagnostics, Llc is Po Box 92303, Anchorage, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fuller Diagnostics, Llc |
|---|---|
| Address | Po Box 92303, Anchorage, Alaska |
| Phone Number | 9075610552 |
| Fax Number | 9075610562 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PART |
|---|---|
| Authorized Official Name | Fuller H Kristi |
| Credentials | PHD, ABPP- |
| Telephone Number | 9075610552 |
NPI Number Detail
| NPI Number | 1326152711 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2012-03-22 |
Provider Mailing Address Detail
| Address | Po Box 92303 |
|---|---|
| City | Anchorage |
| State | Alaska (AK) |
| Post Code | 995092303 |
| Phone Number | 9075610552 |
| Fax Number | 9075610562 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 441 | AK | STATE LICENSE RICHARD FULLER | |
| 1194029488 | NPI KRISTA PEMBERTON LCSW | ||
| PS8574 | AK | -- | |
| PSG123 | AK | -- | |
| 51470 | AK | NATNL REG-KRISTI FULLER | |
| 51478 | AK | NATNL REG-RICHARD FULLER | |
| 1700865029 | AK | NPI KRISTI FULLER | |
| 1022 | AK | STATE LICENSE MAUREEN YOUNG | |
| 1023 | AK | STATE LICENSE KRISTA PEMBERTON | |
| 1578572947 | AK | NPI RICHARD FULLER |
Post Comment/ Review Below
What is the unique identifier code issued to Fuller Diagnostics, Llc by the Centers for Medicare & Medicaid Services?
The Fuller Diagnostics, Llc has been assigned the NPI (National Provider Identifier) 1326152711. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Fuller Diagnostics, Llc is physically located?
The Fuller Diagnostics, Llc is situated at the following address: Po Box 92303, Anchorage, AK 995092303.
What is Fuller Diagnostics, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Fuller Diagnostics, Llc's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1326152711 to Fuller Diagnostics, Llc?
The Fuller Diagnostics, Llc received its 1326152711 assignment from the Centers for Medicare & Medicaid Services on 2006-08-19.
When was the information pertaining to Fuller Diagnostics, Llc most recently updated or revised?
The details related to Fuller Diagnostics, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2012-03-22.
Address: Po Box 2333, Clay, NY
Address: 11541 County Road 1, Fairhope, AL
Address: 5557 Carys Brook Ln, Gloucester, VA
Address: Po Box 2356, Guerneville, CA
Address: 176 Barnwood Dr, Edgewood, KY
Address: 1224 10th St, Coronado, CA
Address: 1259 S Cedar Crest Blvd, Allentown, PA
Address: 1438 W 38th St, Erie, PA
Address: Po Box 491000, Leesburg, FL
Address: 848 W Kings Hwy, Coatesville, PA
Address: 848 W Kings Hwy, Coatesville, PA
Address: 1191 Nw Tahoe Lane, Silverdale, WA
Address: 2022 Fifteenth Avenue, Columbus, GA
Address: 1315 W College Ave, State College, PA
Address: 1146 Opal Ct, Hagerstown, MD