| Margaret A. Fulton, Ph.d., Abpp, Lp | |
|
825 Nicollet Mall Suite 1450 Minneapolis MN 55402-2606 | |
| (612) 204-9667 | |
| Not Available |
| Full Name | Margaret A. Fulton, Ph.d., Abpp, Lp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 825 Nicollet Mall, Minneapolis, Minnesota |
| Authorized Official Name and Position | Margaret Alyssa Fulton (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6122049667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Margaret A. Fulton, Ph.d., Abpp, Lp 825 Nicollet Mall Suite 1450 Minneapolis MN 55402-2606 Ph: (612) 204-9667 | Margaret A. Fulton, Ph.d., Abpp, Lp 825 Nicollet Mall Suite 1450 Minneapolis MN 55402-2606 Ph: (612) 204-9667 |
| NPI Number | 1124359690 |
|---|---|
| Provider Enumeration Date | 01/24/2010 |
| Last Update Date | 01/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124359690 | NPI | - | NPPES |
| 1386778017 | Other | MN | NPI INDIVIDUAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LP0143 (Minnesota) | Primary |
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