Individual provider · Type 1 NPI

Dwight E. Fultz, PhD, LP

Psychologist · Park Rapids, MN

NPI number 1033628805 Active

Practice location

1003 Hollinger St
Park Rapids, MN 56470-1300

Fax (218) 366-2087

Mailing address

2310 S Lake Irving Dr SW
Bemidji, MN 56601-8859

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XLP4277 (MN)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1033628805

Dwight E. Fultz, PhD, LP's National Provider Identifier is 1033628805, issued on Sep 25, 2017. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Park Rapids, MN. The record was last updated on Sep 25, 2017.