IndividualActive
Pamela Fuller, PHD
NPI 1053469452 · Psychologist · Evanston, WY
Provider details
- NPI number
- 1053469452
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 307 (WY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
724 Front Street Suite 230
Evanston, WY 82930
Phone: (307) 789-6773
Fax: (307) 789-3244
Approximate (ZIP-level) locationGet directions
Mailing address
724 Front Street Suite 230
Evanston, WY 82930
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.