Organization
WILLIAM L. FULLITON
Active
Organization
WILLIAM L. FULLITON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LESLIE FULLITON PH.D. (PRESIDENT/CLINICAL PSYCHOLOGIST)
(901) 527-2248
Entity
Organization
Contact information
Practice address
100 N MAIN ST, SUITE 2315, MEMPHIS, TN 38103-5011
(901) 527-2248
Mailing address
100 N MAIN ST, SUITE 2315, MEMPHIS, TN 38103-5011
(901) 527-2248
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P1531
TN
Other
Enumeration date
09/27/2013
Last updated
10/29/2013
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