Search › Michigan › 103TC0700X
Thomas Fuller, PHD
NPI 1598705675 · on the registry since 2006
Practice
- Address
- 2851 Charlevoix Dr Se Ste 323
Grand Rapids, MI 49546 - Phone
- (616) 458-0692
- Fax
- (616) 458-8129
- Organisation at this address
- Hra Psychological Services Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103G00000X
103T00000X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-18
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 Michigan