NPI 1255476131

Adam K Fuller, PHD

Practitioner Clinical Psychologist Evanston, WY

Practice location

Address: 191 Overthrust Rd, Evanston, WY 82930-9261
Phone: (435) 631-9918
Mailing address: 235 Hayden Ave, Evanston, WY 82930-5606

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 306 (WY)

Other Psychologist providers in Wyoming →

Registry record

NPI: 1255476131
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2007
Record last updated: 29 Mar 2018

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.