Individual provider · Type 1 NPI

Stephanie M. Fuller, PhD

Specialist · Yankton, SD

NPI number 1639418494 Active

Practice location

3515 Broadway Ave.
Yankton, SD 57078-7600

Fax (605) 668-3460

Mailing address

PO Box 7600, 3515 Broadway Ave.
Yankton, SD 57078-7600

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X427 (SD)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1639418494

Stephanie M. Fuller, PhD's National Provider Identifier is 1639418494, issued on Feb 13, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Yankton, SD. The record was last updated on Feb 13, 2013.