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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578572947 | NPPES |
| Alaska | MEDICAID | PS04411 | |
| Alaska | Other | 51478 | |
| Alaska | Other | 441 |
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