Fuller, Kristi H

Fuller, Kristi H is an individual health care provider with primary practice located at 2600 Denali St Suite 450, Anchorage AK 99503-2746. She 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 / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Fuller, Kristi H can be contacted 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:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 436 Alaska
Behavioral Health & Social Service Providers / Psychologist 103T00000X 436 Alaska
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 436 Alaska
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 436 Alaska
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 436 Alaska
Behavioral Health & Social Service Providers / Clinical 103TC0700X 436 Alaska
Behavioral Health & Social Service Providers / Forensic 103TF0200X 436 Alaska
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 436 Alaska

Profile Details

NPI number 1700865029
LBN Legal business name Fuller, Kristi H
Credentials PHD, ABPP-CN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Mar 22nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700865029 NPPES
Alaska Other 436 STATE LICENSE
Alaska Other 203902391 STATE LICENSE
Alaska Other 5093431 STATE LICENSE
Alaska Other 51470 STATE LICENSE
Alaska Other 5905 STATE LICENSE
Alaska MEDICAID PS8574 STATE LICENSE

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