Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DWIGHT E FULTZ, PHD, LP
Active Sole ProprietorDWIGHT E FULTZ, PHD, LP is a Psychologist healthcare provider located in PARK RAPIDS, Minnesota. NPI 1033628805 is currently active in the NPPES registry. Verify at CMS.
Psychologist · PARK RAPIDS, MN
Registration Details
- NPI Number
- 1033628805
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2017 (8.875137438501 yrs)
- Last Updated
- Sep 25, 2017
- License
-
LP4277 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1003 HOLLINGER STPARK RAPIDS, MN, 564701300Browse MN providers · Browse ZIP 56470
- Phone
- 2183662636
- Fax
- 2183662087
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in PARK RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| JOEL T.G. KIRCHNER | PHD | 1346281987 |
| DR. MARY PATRICIA FRENZEL | PH.D. | 1477728293 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.