Fuller Diagnostics, Llc in Anchorage - Group Psychotherapy

Fuller Diagnostics, Llc - NPI 1326152711

Fuller Diagnostics, Llc is a Group Psychotherapy in Anchorage, Alaska. Fuller Diagnostics, Llc practices all healthcare services and medical treatments related to Group Psychotherapy. 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 Group Psychotherapy
Taxonomy 103Tp2701X
Definition:
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso

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

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FAQs about Fuller Diagnostics, Llc

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 Group Psychotherapy, and the corresponding taxonomy code that categorizes this field of practice is 103Tp2701X.

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.

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