| Maranda Vandyke Fuller, EDS | |
|
628 Lake St Ne, Wise, VA 24293-7919 | |
| (276) 328-8017 | |
| Not Available |
| Full Name | Maranda Vandyke Fuller |
|---|---|
| Gender | Female |
| Speciality | Psychologist - School |
| Location | 628 Lake St Ne, Wise, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487179438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | 0813000748 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Maranda Vandyke Fuller, EDS Po Box 1217, Wise, VA 24293-1217 Ph: (276) 328-8017 | Maranda Vandyke Fuller, EDS 628 Lake St Ne, Wise, VA 24293-7919 Ph: (276) 328-8017 |
Mrs. Susan Taylor Mullins, ED.S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 628 Lake St Ne, Wise, VA 24293 Phone: 276-328-8017 Fax: 276-328-6608 | |
Shaina Morgan Allen, ED. S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 628 Lake St Ne, Wise, VA 24293 Phone: 276-328-6113 | |
Mrs. Amy Elizabeth Brock, PSY S; NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: Po Box 1217, Wise, VA 24293 Phone: 276-328-8017 Fax: 276-328-8017 |