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DR. THOMAS CHARLES FULLER PHD

Clinical Neuropsychologist

Grand Rapids, Michigan

Provider NPI: 1598705675

Provider Information:
DR. THOMAS CHARLES FULLER PHD
Gender: M
Not Sole Proprietor

Practice Location:
161 OTTAWA NW STE 300C GRAND RAPIDS, MI 49503 US
Tel: 616-458-0692  Fax: 616-458-8129

Business Mailing Address:
161 OTTAWA NW STE 300C HUMAN RESOURCE ASSOCIATES GRAND RAPIDS, MI 49503 US
Tel: 616-458-0692  Fax: 616-458-8129

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MI6301006879
N103T00000XBehavioral Health & Social Service Providers
Psychologist
MI6301006879









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