Individual
DANIEL COLIN FULFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
52 PICKERING ST, NEEDHAM, MA 02492-3159
(617) 396-4941
Mailing address
52 PICKERING ST, NEEDHAM, MA 02492-3159
(617) 396-4941
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10000560
MA
Other
Enumeration date
07/07/2010
Last updated
07/24/2024
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