Individual
JOSHUA CAMPBELL FULWILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2625 TRACELAND DR STE B, TUPELO, MS 38801-4240
(662) 269-3599
(662) 259-2503
Mailing address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7521
(662) 236-3071
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
581025
MS
Other
Enumeration date
07/13/2015
Last updated
09/23/2019
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