Organization
FULLER NEUROPSYCHOLOGY
Active
Organization
FULLER NEUROPSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN FULLER (PSYCHOLOGIST)
(817) 239-2744
Entity
Organization
Contact information
Practice address
2301 OHIO DR STE 130, PLANO, TX 75093-3997
(817) 239-2744
Mailing address
7032 SOUTHRIDGE DR, DALLAS, TX 75214-3248
(817) 239-2744
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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