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Dwight Fultz, PHD, LP
NPI 1033628805 · Psychologist · Park Rapids, MN
Dwight Fultz, PHD, LP is a Psychologist provider in Park Rapids, MN (NPI 1033628805).
Provider details
- NPI number
- 1033628805
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD, LP
- Sex
- Male
- Sole proprietor
- Yes
- License
- LP4277 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1003 Hollinger St
Park Rapids, MN 56470-1300
Phone: (218) 366-2636
Fax: (218) 366-2087
Street-level locationGet directions
Mailing address
2310 S Lake Irving Dr Sw
Bemidji, MN 56601-8859
Registry dates
- Enumerated
- 2017-09-25
- Last updated
- 2017-09-25
Frequently asked questions
- What is Dwight Fultz's NPI number?
- Dwight Fultz's National Provider Identifier (NPI) is 1033628805, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dwight Fultz's specialty?
- Dwight Fultz is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Dwight Fultz located?
- Dwight Fultz's practice location on file with NPPES is 1003 Hollinger St, Park Rapids, MN 56470-1300.
- What is Dwight Fultz's phone number?
- The practice phone number listed in the NPPES registry for Dwight Fultz is (218) 366-2636.
- Is Dwight Fultz's NPI active?
- Yes — Dwight Fultz's NPI (1033628805) is active in the NPPES registry as of the last update on 2017-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.