Theodore Fuller PH.D.

NPI 1245361682 - Psychologist - 103T00000X

NPI Details
NPI 1245361682
Gender Male
Enumeration Date 03/08/2007
Last Updated 12/09/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
4115 WISCONSIN AVE NW
203
WASHINGTON DC, 20016-2812, US
Phone (202) 955-6381
Fax
Business Location
1662 EUCLID ST NW APT A
WASHINGTON DC, 20009-5658, US
Phone (202) 955-6381
Fax
Toxanomy
Taxonomy Code 103T00000X
License State DO Columbia
License Number PSY1827
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According to our database, Mr. Theodore Fuller PH.D. NPI is 1245361682, taxonomy code is 103T00000X and license number is PSY1827, license state is located at DO Columbia. Theodore Fuller PH.D. physically located at 4115 Wisconsin Ave Nw, Washington DC, 20016-2812. NPI Number Theodore Fuller PH.D. has the Individual type.

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1245361682 NPI number is provided on an as is basis without warranty of any kind. 1245361682 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore Fuller PH.D. are for informational purposes only.