Individual provider · Type 1 NPI

Jordan S. Fuller, PhD

Psychologist · Kansas City, MO

NPI number 1093598484 Active

Practice location

3011 Baltimore Ave
Kansas City, MO 64108-3403

Call (159) 874-6836 Map

Mailing address

17751 Wexford St
Roseville, MI 48066-4629

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X6301019267 (MI)

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 1093598484

Jordan S. Fuller, PhD's National Provider Identifier is 1093598484, issued on Aug 17, 2023. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Kansas City, MO. The record was last updated on Aug 17, 2023.