Individual
DR. WILLIAM LESLIE FULLITON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1407 UNION AVE STE 1407, MEMPHIS, TN 38104
(901) 276-9606
(901) 276-9607
Mailing address
1407 UNION AVE STE 1407, MEMPHIS, TN 38104-3680
(901) 276-9606
(901) 276-9607
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-17-26623
TN
103TC0700X
Clinical Psychologist
Primary
P1531
TN
Other
Enumeration date
08/26/2013
Last updated
01/23/2019
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