IndividualActive
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)
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.