Fuller Diagnostics, Llc

LBN: Fuller Diagnostics, Llc
Fuller Diagnostics, Llc is an health care organization with primary practice located at 2600 Denali St Suite 450, Anchorage AK 99503-2746. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty. Fuller Diagnostics, Llc can be contacted via phone (907) 561-0552, or through Fuller, Kristi H via phone (907) 561-0552.

Contact Information

Primary practice address
2600 Denali St Suite 450 Anchorage AK 99503-2746
Phone: (907) 561-0552
Fax: (907) 561-0562
Website:
Map and Directions
Authorized official contact:
Name: Fuller, Kristi H PHD, ABPP-CN
Phone: (907) 561-0552

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Forensic 103TF0200X
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1022 Alaska
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1023 Alaska

Profile Details

NPI number 1326152711
LBN Legal business name Fuller Diagnostics, Llc
DBA Doing business as
Authorized official Fuller, Kristi H PHD, ABPP-CN
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated Mar 22nd, 2012 - about 12 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 1326152711 NPPES
Alaska Other 441 STATE LICENSE RICHARD FULLER
Alaska Other 1194029488 STATE LICENSE RICHARD FULLER
Alaska MEDICAID PS8574 STATE LICENSE RICHARD FULLER
Alaska MEDICAID PSG123 STATE LICENSE RICHARD FULLER
Alaska Other 51470 STATE LICENSE RICHARD FULLER
Alaska Other 51478 STATE LICENSE RICHARD FULLER
Alaska Other 1700865029 STATE LICENSE RICHARD FULLER
Alaska Other 1022 STATE LICENSE RICHARD FULLER
Alaska Other 1023 STATE LICENSE RICHARD FULLER
Alaska Other 1578572947 STATE LICENSE RICHARD FULLER
Alaska Other 1821392119 STATE LICENSE RICHARD FULLER
Alaska MEDICAID PS04411 STATE LICENSE RICHARD FULLER
Alaska Other 436 STATE LICENSE RICHARD FULLER

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