Individual
DR. JUSTINE FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
445 BRICK BLVD STE 302, BRICK, NJ 08723-6080
(908) 415-6354
Mailing address
15 LAUREN LN, NEW EGYPT, NJ 08533-1820
(908) 415-6354
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
616400
NJ
Other
Enumeration date
09/30/2019
Last updated
01/08/2020
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