Individual provider · Type 1 NPI

Kim Fuller, PhD

Psychologist · Coral Gables, FL

NPI number 1750379996 Active

Practice location

5665 Ponce De Leon Blvd, Room 213
Coral Gables, FL 33146-2510

Call (305) 284-6874 Map

Fax (305) 284-1700

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700XPY4602 (FL)
Psychologist Primary 103T00000XPY4602 (FL)

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 1750379996

Kim Fuller, PhD's National Provider Identifier is 1750379996, issued on Oct 12, 2005. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Coral Gables, FL. The record was last updated on Jul 13, 2026.