Cheryl C. Fuller Phd Pa

LBN: Cheryl C. Fuller Phd Pa
Cheryl C. Fuller Phd Pa is an health care organization with primary practice located at 1814 8Th Ave # B , Fort Worth TX 76110-1354. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Cheryl C. Fuller Phd Pa can be contacted via phone (817) 735-8222, or through Fuller, Cheryl C. via phone (817) 735-8222.

Contact Information

Primary practice address
1814 8Th Ave # B Fort Worth TX 76110-1354
Phone: (817) 735-8222
Fax: (817) 924-1369
Website:
Map and Directions
Authorized official contact:
Name: Fuller, Cheryl C. PHD
Phone: (817) 735-8222

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2-3404 Texas

Profile Details

NPI number 1689789901
LBN Legal business name Cheryl C. Fuller Phd Pa
DBA Doing business as
Authorized official Fuller, Cheryl C. PHD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated Aug 25th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689789901 NPPES
Texas Other 0012JC BLUE CROSS BLUE SHIELD

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