Fuller, Russell F
Fuller, Russell F is an individual health care provider with primary practice located at 4225 Executive Sq Suite 1110, La Jolla CA 92037-9122. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fuller, Russell F can be contacted via phone (858) 558-7707.Contact Information
Primary practice address
4225 Executive Sq Suite 1110
La Jolla CA 92037-9122
Phone: (858) 558-7707
Fax: (858) 558-7708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY16530 | California |
Profile Details
| NPI number | 1912336413 |
|---|---|
| LBN Legal business name | Fuller, Russell F |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2013 |
| Last updated | Nov 5th, 2013 - about 13 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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