Heather J. Fullerton in San Francisco - Child & Adolescent Psychiatry
Heather J. Fullerton - NPI 1508916107
Heather J. Fullerton is a Child & Adolescent Psychiatry in San Francisco, California. Heather J. Fullerton practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Heather J. Fullerton is 1508916107. The last update date is 2007-07-09.
Heather J. Fullerton's current location address is 1635 Divisadero St Ste 625 Box 1821, San Francisco, California. You can contact this provider via phone number 4154764029 and fax number 4154764150. The mailing address for Heather J. Fullerton is 1635 Divisadero St Ste 625 Box 1821, San Francisco, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather J. Fullerton |
|---|---|
| Address | 1635 Divisadero St Ste 625 Box 1821, San Francisco, California |
| Phone Number | 4154764029 |
| Fax Number | 4154764150 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508916107 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1635 Divisadero St Ste 625 Box 1821 |
|---|---|
| City | San Francisco |
| State | California (CA) |
| Post Code | 941430001 |
| Phone Number | 4154764029 |
| Fax Number | 4154764150 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | A67954 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A679540 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Heather J. Fullerton by the Centers for Medicare & Medicaid Services?
The Heather J. Fullerton has been assigned the NPI (National Provider Identifier) 1508916107. 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 physical address where Heather J. Fullerton is located?
The Heather J. Fullerton is situated at the following address: 1635 Divisadero St Ste 625 Box 1821, San Francisco, CA, 941430001.
What is the area of specialization for Heather J. Fullerton, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Heather J. Fullerton is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0804X.
On what date did the Centers for Medicare & Medicaid Services issue the 1508916107 to Heather J. Fullerton?
The Heather J. Fullerton received its 1508916107 assignment from the Centers for Medicare & Medicaid Services on 2007-01-12.
When was the information related to Heather J. Fullerton most recently updated or refreshed?
The details pertaining to the Heather J. Fullerton, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.
NPI Number: 1720081763
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