Alexandra Fuller, PsyD
Psychologist, Clinical in Covington, LA. Individual provider (NPI-1).
NPI number1962273086
StatusActive
Last updated in NPPESJan 9, 2024
Details
- NPI
- 1962273086
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Fuller
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2024
- Certification date
- Jan 9, 2024
- Last updated
- Jan 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 1702 | LA | Yes |
Practice location
206 S Tyler St Ste BCovington, LA 70433-3073
Phone 985-302-0905
Mailing address
206 S Tyler St Ste BCovington, LA 70433-3073
Phone 985-302-0905
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