Fuller Consulting Services, Llc | |
68 Leonard St Belmont MA 02478-2522 | |
(617) 484-5005 | |
(617) 484-5005 |
Full Name | Fuller Consulting Services, Llc |
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Speciality | Clinical Neuropsychologist |
Location | 68 Leonard St, Belmont, Massachusetts |
Authorized Official Name and Position | Steffen R. Fuller (PRESIDENT) |
Authorized Official Contact | 6174845005 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fuller Consulting Services, Llc 68 Leonard St Belmont MA 02478-2522 Ph: (617) 484-5005 | Fuller Consulting Services, Llc 68 Leonard St Belmont MA 02478-2522 Ph: (617) 484-5005 |
NPI Number | 1558407064 |
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Provider Enumeration Date | 01/30/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 7113160789 |
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Medicare Enrollment ID | O20130829000404 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558407064 | NPI | - | NPPES |
W10657 | Other | MA | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
Provider Name | Steffen R Fuller |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1467598961 PECOS PAC ID: 2567456809 Enrollment ID: I20040412000251 |
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