Fuller, Thomas Charles

Fuller, Thomas Charles is an individual health care provider with primary practice located at 2851 Charlevoix Dr Se Ste 323 , Grand Rapids MI 49546-7092. He recently has 3 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Fuller, Thomas Charles can be contacted via phone (616) 458-0692.

Contact Information

Primary practice address
2851 Charlevoix Dr Se Ste 323 Grand Rapids MI 49546-7092
Phone: (616) 458-0692
Fax: (616) 458-8129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 6301006879 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301006879 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301006879 Michigan

Profile Details

NPI number 1598705675
LBN Legal business name Fuller, Thomas Charles
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Oct 18th, 2023 - about 2 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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