Individual provider · Type 1 NPI

Pamela R. Fuller, PhD

Psychologist · Evanston, WY

NPI number 1053469452 Active

Practice location

724 Front Street Suite 230
Evanston, WY 82930

Fax (307) 789-3244

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X307 (WY)

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 1053469452

Pamela R. Fuller, PhD's National Provider Identifier is 1053469452, issued on Jan 8, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Evanston, WY. The record was last updated on Jul 8, 2007.