Individual
JOHN RICHARD FAULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3500 ZANKER RD, SAN JOSE, CA 95134-2201
(408) 451-6198
Mailing address
1600 9TH ST, ROOM 205 MAILSTOP 2-3, SACRAMENTO, CA 95814-6404
(916) 654-2431
(916) 654-3186
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY6170
CA
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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