Organization
GINNY FULLERTON, PH.D PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA FULLERTON PH.D (PSYCHOLOGIST, PRESIDENT)
(713) 568-6837
Entity
Organization
Contact information
Practice address
1401 CASTLE CT, HOUSTON, TX 77006-5703
(713) 568-6837
Mailing address
1401 CASTLE CT, HOUSTON, TX 77006-5703
(713) 568-6837
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
33888
TX
Other
Enumeration date
09/29/2010
Last updated
11/05/2012
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