| Mr Brian Jay Fuller, PHD | |
|
1662 E Centre Ave, Portage, MI 49002-4410 | |
| (269) 321-8564 | |
| Not Available |
| Full Name | Mr Brian Jay Fuller |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 1662 E Centre Ave, Portage, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942258595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301013172 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brian Jay Fuller, PHD 5340 Holiday Ter, Kalamazoo, MI 49009-2196 Ph: (269) 321-8564 | Mr Brian Jay Fuller, PHD 1662 E Centre Ave, Portage, MI 49002-4410 Ph: (269) 321-8564 |
Patricia Shull-blood, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5148 Lovers Ln, Suite 200, Portage, MI 49002 Phone: 269-343-3010 Fax: 269-343-3017 | |
Mr. Timothy Lewis Radabaugh, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 742 Ludington Ave, Portage, MI 49002 Phone: 269-876-0228 | |
Lee Carlin Sanders, MA LLP LMSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10056 Woodlawn Dr, Portage, MI 49002 Phone: 269-324-9805 | |
Dr. Kristin Rae Gillen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1514 W Milham Ave, Portage, MI 49024 Phone: 269-342-0606 | |
Dr. Ollie Garfield Barnes Iii, ED.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 576 Romence Rd, Suite 222, Portage, MI 49024 Phone: 269-207-7373 Fax: 269-323-2282 | |
Sheri L Heflin, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1662 E Centre Ave, Portage, MI 49002 Phone: 269-321-8564 Fax: 269-321-8641 | |
Mr. Chad E Muffley, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5220 Lovers Lane, Suite 120, Portage, MI 49002 Phone: 269-344-3080 Fax: 269-344-0543 |