Individual
DR. CORY FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
24511 W JAYNE AVE, COALINGA, CA 93210-9503
(559) 934-3596
Mailing address
PO BOX 1132, HANFORD, CA 93232-1132
(323) 420-3147
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY25795
CA
Other
Enumeration date
03/14/2007
Last updated
09/24/2014
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