Fuller Psychology Corporation
NPI #1437325040 in La Jolla, California
Provider Information
- NPI Number
- 1437325040
- Entity Type
- Organization
- Organization Name
- Fuller Psychology Corporation
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- May 3, 2008
- Last Updated
- May 3, 2008
Practice Location
- Address
- 4225 EXECUTIVE SQ
- Address 2
- SUITE 1110
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-9122
- Phone
- (858) 558-7707
Authorized Official
- Name
- DR. RUSSELL F FULLER, PSY.D.
- Title
- PRESIDENT, CLINICAL PSYCHOLOGIST
- Phone
- (858) 558-7707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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