Individual
JOHN B FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-5592
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 662-5592
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9623346-2501
UT
Other
Enumeration date
07/16/2009
Last updated
10/29/2021
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