| NPI | 1013126036 |
|---|---|
| Doing Business As | FULLER PSYCHOLOGICAL AND FAMILY SERVICES |
| Entity Type | Organization |
| Authorized Contact | THEOPOLIS COSSE Executive Director 626-584-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 101YM0800X Counselor, Mental Health | |
| 103G00000X Clinical Neuropsychologist | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 106H00000X Marriage & Family Therapist | |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-10-13 |