Kristi H Fuller in Anchorage - Clinical Child & Adolescent

Kristi H Fuller - NPI 1700865029

Kristi H Fuller is a Clinical Child & Adolescent in Anchorage, Alaska. Kristi H Fuller practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Kristi H Fuller is 1700865029. The last update date is 2012-03-22.

Kristi H Fuller'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 Kristi H Fuller is Po Box 92303, Anchorage, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristi H Fuller
Address Po Box 92303, Anchorage, Alaska
Phone Number 9075610552
Fax Number 9075610562
Sole Proprietor N
Credentials PHD, ABPP-

NPI Number Detail

NPI Number 1700865029
Provider Enumeration Date 2006-01-13
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
Licence No 436
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
436 AK STATE LICENSE
203902391 AK TRIWEST
5093431 AK AETNA PIN
51470 DC NATIONAL REGISTER-PSYCHOL
5905 AK ABPP-CN
PS8574 AK --

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FAQs about Kristi H Fuller

What is the Kristi H Fuller's unique identification number?

The Kristi H Fuller has been assigned the NPI (National Provider Identifier) Number 1700865029 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Kristi H Fuller is located?

The Kristi H Fuller is situated at the following address: Po Box 92303, Anchorage, AK, 995092303.

What is Kristi H Fuller's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kristi H Fuller's specialized field of practice is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc2200X.

On what date did Kristi H Fuller receive its 1700865029 assignment from the Centers for Medicare & Medicaid Services?

The Kristi H Fuller was assigned its 1700865029 on 2006-01-13, 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 pertaining to Kristi H Fuller, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kristi H Fuller, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-03-22.

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