Individual provider · Type 1 NPI

Jill M. Fultz, M.S., L.L.P.

Clinical Psychologist · Canton, MI

NPI number 1659405629 Active

Practice location

43825 Michigan Ave
Canton, MI 48188-2551

Call (734) 397-3088 Map

Mailing address

42658 Somerset Dr
Canton, MI 48187-3023

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X6301012299 (MI)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1659405629

Jill M. Fultz, M.S., L.L.P.'s National Provider Identifier is 1659405629, issued on Mar 14, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Canton, MI. The record was last updated on Jul 8, 2007.