Individual
DR. KAYLEEN M FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8706 S 700 E STE 103, SANDY, UT 84070-1808
(801) 652-2720
(801) 606-7738
Mailing address
8706 S 700 E STE 103, SANDY, UT 84070-1808
(801) 652-2720
(801) 606-7738
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
200419-2501
UT
Other
Enumeration date
06/04/2006
Last updated
04/18/2019
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