Organization
MARGARET A. FULTON, INC.
Active
Other names
Margaret A. Fulton, Ph.D., ABPP, LP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGARET ALYSSA FULTON PH.D. (CHIEF EXECUTIVE OFFICER)
(612) 204-9667
Entity
Organization
Contact information
Practice address
825 NICOLLET MALL, SUITE 1450, MINNEAPOLIS, MN 55402-2606
(612) 204-9667
Mailing address
825 NICOLLET MALL, SUITE 1450, MINNEAPOLIS, MN 55402-2606
(612) 204-9667
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LP0143
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386778017
NPI INDIVIDUAL PROVIDER NUMBER
MN
Enumeration date
01/24/2010
Last updated
01/24/2010
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