ADAM K FULLER

EVANSTON, WY
NPI1255476131
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: WY  306)
Enumeration Date2007-02-20
Last Update Date2018-03-29
Business Address
ADAM K FULLER Ph.D.
191 OVERTHRUST RD
EVANSTON, WY 82930-9261
Phone number: 435-631-9918
Mailing Address
ADAM K FULLER Ph.D.
235 HAYDEN AVE
EVANSTON, WY 82930-5606
Phone number: 435-631-9918