IndividualActive
Adam Fuller, PH.D.
NPI 1255476131 · Clinical Psychologist · Evanston, WY
Provider details
- NPI number
- 1255476131
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 306 (WY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
191 Overthrust Rd
Evanston, WY 82930-9261
Phone: (435) 631-9918
Approximate (ZIP-level) locationGet directions
Mailing address
235 Hayden Ave
Evanston, WY 82930-5606
Additional practice locations (1)
- 2078 Prospector AvePark City, UT 84060-7321Phone: (435) 631-9918
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2018-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.