Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS CHARLES FULLER, PHD
ActiveDR. THOMAS CHARLES FULLER, PHD is a Clinical Psychologist healthcare provider located in GRAND RAPIDS, Michigan. NPI 1598705675 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1598705675
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2006 (20.155055016234 yrs)
- Last Updated
- Oct 18, 2023
- Licenses
-
6301006879 (MI)6301006879 (MI)6301006879 (MI)
Practice Information
- Address
-
2851 CHARLEVOIX DR SE STE 323GRAND RAPIDS, MI, 495467092Browse MI providers · Browse ZIP 49546
- Phone
- 6164580692
- Fax
- 6164588129
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Psychologist
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. THERESA JOAN ANDERSON-VARNEY | PHD | 1760489793 |
| KRISSA KIRBY | PH.D | 1386639870 |
| MICHAEL M MAKEDONSKY | PHD | 1760466056 |
| BARBARA J HOMRICH | MA LLP | 1760469027 |
| THEODORE J JANSMA JR. | PHD | 1316924525 |
| DR. LEIGH PAVA WENDTLAND | PHD LLP | 1780663138 |
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.