Doctor Name: | MRS. KATHLEEN FULLMER |
NPI Number: | 1457483836 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | PC003085 |
Business Practice Address: | 307 4th Ave Suite 310 Pittsburgh, PA - 152222108 |
Business Phone Number: | 4124718722 |
Business Fax Number: | 4124714861 |
Mailing Address: | 307 4th Ave, Suite 310 PITTSBURGH |
State: | PA |
Postal Code: | 152222108 |
Phone Number: | 4124718722 |
Fax Number: | 4124714861 |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | PC003085 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |