Individual
DR. KIRIMI FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
103 W BROAD ST, STAMFORD, CT 06902-3713
(203) 324-6127
Mailing address
103 W BROAD ST, STAMFORD, CT 06902-3713
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3321
CT
Other
Enumeration date
09/27/2013
Last updated
10/03/2013
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