Individual provider · Type 1 NPI

Russell F. Fuller I, PSY.D.

Clinical Psychologist · La Jolla, CA

NPI number 1912336413 Active

Practice location

4225 Executive Sq, Suite 1110
La Jolla, CA 92037-9122

Fax (858) 558-7708

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	PSY16530 (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 1912336413

Russell F. Fuller I, PSY.D.'s National Provider Identifier is 1912336413, issued on Nov 5, 2013. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in La Jolla, CA. The record was last updated on Nov 5, 2013.