Individual
CHRISTINE FULTYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1900 W SUNSHINE ST, SPRINGFIELD, MO 65807-2240
(417) 862-7041
Mailing address
1900 W SUNSHINE ST, SPRINGFIELD, MO 65807-2240
(417) 862-7041
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9490
FL
Other
Enumeration date
08/16/2017
Last updated
07/21/2022
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