Kayleen M Fuller PH.D.

NPI 1073552402 - Psychologist - 103TC0700X

NPI Details
NPI 1073552402
Gender Female
Enumeration Date 06/04/2006
Last Updated 03/23/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
5200 SOUTH HIGHLAND DRIVE
SUITE 202
HOLLADAY UT, 84117, US
Phone (801) 652-2720
Fax (801) 277-6003
Business Location
PO BOX 902380
SANDY UT, 84090-2380, US
Phone (801) 652-2720
Fax (801) 277-6003
Toxanomy
Taxonomy Code 103TC0700X
License State Utah
License Number 200419-2501
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According to our database, Dr. Kayleen M Fuller PH.D. NPI is 1073552402, taxonomy code is 103TC0700X and license number is 200419-2501, license state is located at Utah. Kayleen M Fuller PH.D. physically located at 5200 South Highland Drive, Holladay UT, 84117. NPI Number Kayleen M Fuller PH.D. has the Individual type.

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1073552402 NPI number is provided on an as is basis without warranty of any kind. 1073552402 is maintained by the National Plan & Provider Enumeration System. The contents of Kayleen M Fuller PH.D. are for informational purposes only.