Fuller, Gerry L.

Fuller, Gerry L. is an individual health care provider with primary practice located at 7272 Wurzbach Rd Suite 601, San Antonio TX 78240-4801. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fuller, Gerry L. can be contacted via phone (210) 615-8880.

Contact Information

Primary practice address
7272 Wurzbach Rd Suite 601 San Antonio TX 78240-4801
Phone: (210) 615-8880
Fax: (210) 593-9863
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1402-C Arkansas

Profile Details

NPI number 1063778561
LBN Legal business name Fuller, Gerry L.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2012
Last updated Apr 9th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063778561 NPPES
Arkansas Other 1402-C LICENSE

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