DR. Pamela R Fuller, PHD

NPI #1053469452 in Evanston, Wyoming

Provider Information

NPI Number: 1053469452
Entity Type: Individual
Name: DR. Pamela R Fuller, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Jan 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 724 FRONT STREET SUITE 230
City: Evanston
State: Wyoming
ZIP Code: 82930
Phone: (307) 789-6773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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