| Doctor Name: | ARTHUR FULDAUER |
| NPI Number: | 1164744025 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LISW |
| License Number: | I-2249 |
| Business Practice Address: | 1500 Idalia Bldg B Bernalillo, NM - 870046303 |
| Business Phone Number: | 5058672291 |
| Business Fax Number: | 5058670107 |
| Mailing Address: | 1500 Idalia Bldg B, BERNALILLO |
| State: | NM |
| Postal Code: | 870046303 |
| Phone Number: | 5058672291 |
| Fax Number: | 5058670107 |
| NPI Enumeration Date: | 02/19/2010 |
| NPI Last Update Date: | 02/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I-2249 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |