Individual provider · Type 1 NPI
Elisa Brown Fuller, PhD
Clinical Psychologist · Los Angeles, CA
Practice location
5880 San Vicente Blvd Ste 103
Los Angeles, CA 90019-6667
Mailing address
10736 Jefferson Blvd # 412
Culver City, CA 90230-4933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PSY32819 (CA) |
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 1669721684
Elisa Brown Fuller, PhD's National Provider Identifier is 1669721684, issued on Sep 5, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 24, 2025.