Individual
DR. THOMAS CHARLES FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2851 CHARLEVOIX DR SE STE 323, GRAND RAPIDS, MI 49546-7092
(616) 458-0692
(616) 458-8129
Mailing address
161 OTTAWA NW, STE 300C HUMAN RESOURCE ASSOCIATES, GRAND RAPIDS, MI 49503
(616) 458-0692
(616) 458-8129
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301006879
MI
103T00000X
Psychologist
6301006879
MI
103TC0700X
Clinical Psychologist
Primary
6301006879
MI
Other
Enumeration date
06/07/2006
Last updated
10/18/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us