Fuller-Polhamus, Laura Ashley

Fuller-Polhamus, Laura Ashley is an individual health care provider with primary practice located at 134 W End Ave , Somerville NJ 08876-1816. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Fuller-Polhamus, Laura Ashley can be contacted via phone (908) 333-4646.

Contact Information

Primary practice address
134 W End Ave Somerville NJ 08876-1816
Phone: (908) 333-4646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 5909 New Jersey

Profile Details

NPI number 1093044653
LBN Legal business name Fuller-Polhamus, Laura Ashley
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2009
Last updated Mar 15th, 2019 - about 5 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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