Individual provider · Type 1 NPI

Brian Jay Fuller, PhD

Psychologist · Portage, MI

NPI number 1942258595 Active

Practice location

1662 E Centre Ave
Portage, MI 49002-4410

Call (269) 321-8564 Map

Mailing address

5340 Holiday Ter
Kalamazoo, MI 49009-2196

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X6301013172 (MI)

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 1942258595

Brian Jay Fuller, PhD's National Provider Identifier is 1942258595, issued on May 5, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Portage, MI. The record was last updated on Jun 19, 2012.