Dwight Fultz, PHD, LP

NPI 1033628805 · on the registry since 2017 · sole proprietor

Practice

Address: 1003 Hollinger St
Park Rapids, MN 56470
Phone: (218) 366-2636
Fax: (218) 366-2087
Organisation at this address: Groupworks Llc
Stellher Human Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Psychologist
103T00000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-09-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota