Individual
MRS. PAULA DAVIS FULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.C.C.-.S,R.D.,L.D.
Contact information
Practice address
303 E. BAGLEY ROAD, BEREA, OH 44017
(440) 260-8375
(440) 260-8390
Mailing address
10509 KINGS WAY, N. ROYALTON, OH 44133-1970
(440) 582-3744
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E0003210SUPV
OH
133V00000X
Registered Dietitian
Primary
LD861
OH
Other
Enumeration date
05/02/2007
Last updated
09/11/2025
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