Jill M. Fultz, M.S., L.L.P.

NPI #1659405629 in Canton, Michigan

Provider Information

NPI Number
1659405629
Entity Type
Individual
Name
Jill M. Fultz, M.S., L.L.P.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
M.S., L.L.P.
Enumeration Date
Mar 14, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
43825 MICHIGAN AVE
City
Canton
ZIP Code
48188-2551
Phone
(734) 397-3088

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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