Fuller, Richard Daniel

Fuller, Richard Daniel is an individual health care provider with primary practice located at 2600 Denali St Suite 450, Anchorage AK 99503-2746. He recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, 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 / Adult Development & Aging, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Fuller, Richard Daniel 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 441 Alaska
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 441 Alaska
Behavioral Health & Social Service Providers / Clinical 103TC0700X 441 Alaska
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 441 Alaska
Behavioral Health & Social Service Providers / Forensic 103TF0200X 441 Alaska
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 441 Alaska
Behavioral Health & Social Service Providers / Psychologist 103T00000X 441 Alaska
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 441 Alaska

Profile Details

NPI number 1578572947
LBN Legal business name Fuller, Richard Daniel
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Mar 22nd, 2012 - about 13 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 1578572947 NPPES
Alaska MEDICAID PS04411
Alaska Other 51478
Alaska Other 441

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