NPI 1053469452

Pamela R Fuller, PHD

Practitioner Psychologist Evanston, WY

Practice location

Address: 724 Front Street Suite 230, Evanston, WY 82930
Phone: (307) 789-6773
Fax: (307) 789-3244

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 307 (WY)

Other Psychologist providers in Wyoming →

Registry record

NPI: 1053469452
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.