Individual
CATHERINE GRACE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
960 E GREEN ST STE 290, PASADENA, CA 91106-2401
(626) 584-0324
(626) 796-6141
Mailing address
960 E GREEN ST STE 290, PASADENA, CA 91106-2401
(626) 584-0324
(626) 796-6141
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 9498
CA
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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