Individual
MS. NANCY LOUISE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICPSY
Contact information
Practice address
275 NICHOLS RD, FITCHBURG, MA 01420-1919
(978) 401-3970
Mailing address
175 WAMPUM ST, PLAINVILLE, MA 02762-1605
(508) 695-8987
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11081
MA
Other
Enumeration date
01/16/2007
Last updated
06/18/2019
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