Fulton, Paul Russell

Fulton, Paul Russell is an sole proprietor health care provider with primary practice located at 23 Pleasant St Suite 2, Newton Center MA 02459-1836. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Fulton, Paul Russell can be contacted via phone (617) 244-0131.

Contact Information

Primary practice address
23 Pleasant St Suite 2 Newton Center MA 02459-1836
Phone: (617) 244-0131
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4355 Massachusetts
Behavioral Health & Social Service Providers / Forensic 103TF0200X 4355 Massachusetts
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4355 Massachusetts

Profile Details

NPI number 1558412296
LBN Legal business name Fulton, Paul Russell
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 19 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 1558412296 NPPES
Massachusetts Other WO4223 BLUE CROSS PROVIDER ID

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