Fulton, Randy

Fulton, Randy is an individual health care provider with primary practice located at 100 N Academy Ave Gmc, Division Of Psychiatry, Danville PA 17822-1335. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Fulton, Randy can be contacted via phone (570) 271-6516.

Contact Information

Primary practice address
100 N Academy Ave Gmc, Division Of Psychiatry Danville PA 17822-1335
Phone: (570) 271-6516
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PS017826 Pennsylvania

Profile Details

NPI number 1568898823
LBN Legal business name Fulton, Randy
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2013
Last updated Aug 19th, 2020 - about 6 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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