Dwight E Fultz, PHD, LP | |
1003 Hollinger St, Park Rapids, MN 56470-1300 | |
(218) 366-2636 | |
(218) 366-2087 |
Full Name | Dwight E Fultz |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 1003 Hollinger St, Park Rapids, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033628805 | NPI | - | NPPES |
LP4277 | Other | MN | STATE OF MINNESOTA - MINNESOTA BOARD OF PSYCHOLOGY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | LP4277 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dwight E Fultz, PHD, LP 2310 S Lake Irving Dr Sw, Bemidji, MN 56601-8859 Ph: (218) 751-1811 | Dwight E Fultz, PHD, LP 1003 Hollinger St, Park Rapids, MN 56470-1300 Ph: (218) 366-2636 |
Joel T.g. Kirchner, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2874 | |
Dr. Mary Patricia Frenzel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 120 Main Ave N, Park Rapids, MN 56470 Phone: 218-732-7266 Fax: 218-732-0136 |