DR. WILLIAM LESLIE FULLITON


Address: 1407 Union Ave Ste 1407, Memphis, TN 38104
Phone: 9012769606

DR. WILLIAM LESLIE FULLITON (NPI# 1578997615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578997615
Entity Type Individual
Full Name DR. WILLIAM LESLIE FULLITON
Credential PH.D.
Practice Address 1407 Union Ave Ste 1407
Memphis
TN 38104
Mailing Address 1407 Union Ave Ste 1407
Memphis
TN 38104-3680
Practice Telephone 9012769606
Practice Fax Number 9012769607
Mailing Telephone 9012769606
Mailing Fax Number 9012769607
Enumeration Date 2013-08-26
Last Update Date 2019-01-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
P1531 TN Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst 1-17-26623 TN Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
100 N Main St, Suite 2315, Memphis, TN 381035011 9015272248 9015232029
6685 Quince Rd Ste 116, Memphis, TN 381198037 9012769606 9012769607

Office Location

Street Address 1407 UNION AVE STE 1407
City MEMPHIS
State TN
Zip Code 38104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285154815 Alicia Paige Adair Behavioral Analyst 1407 Union Ave Ste 1407, Memphis, TN 38104-3680 2017-06-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952900367 Christy White Recreation Therapist 1030 Jefferson Ave (rt117), Memphis, TN 38104 2020-10-19
1821615873 Altiana Carter Optometrist 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 2020-06-25
1952898413 Family To Family Adult Care Service Chore Provider 1331 Union Ave Suite 1028, Mempnis, TN 38104 2018-04-19
1326544800 Kimberly Vestoria Mcclinton Nurse Practitioner 2200 Union Ave 1, Memphis, TN 38104 2018-04-03
1649799339 Benjamin Duhart Jr. Pharmacist 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 2017-09-13
1134644982 Amy Michelle Wise Nurse Practitioner 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 2017-08-13
1316468572 Jinger Cathey Social Worker 1330 Jefferson Ave, Memphis, TN 38104 2017-06-28
1336669183 Charma May Kavuncu Social Worker 1407 Union Ave Ste 1100, Memphis, TN 38104 2017-06-22
1003345398 Angelica J Dennis Nurse Practitioner 1265 Union, Memphis, TN 38104 2017-06-08
1609302546 Cheryl Beene Nurse Practitioner 1211 Union Ave Ste 475, Memphis, TN 38104 2017-05-11
Find all providers in zip 38104

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447805031 Jasmine Jones Psychologist 516 Tennessee St Ste 225, Memphis, TN 38103-4717 2019-08-09
1649768870 River City Neuropsychology, Pllc Psychologist 1661 International Dr., Suite 400, Memphis, TN 38120 2018-04-24
1265950919 Memphis Center for Mindful Living, LLC Psychologist 4646 Poplar Ave Ste 435, Memphis, TN 38117-4443 2017-09-01
1053869354 Kimberly Noel Fleming Psychologist 512 Alexander St, Memphis, TN 38111-4310 2016-09-14
1003230350 Kyong Han Psychologist 6401 Poplar Ave Ste 420, Memphis, TN 38119-4806 2014-02-06
1073862827 Joann Paula Raby Psychologist 5119 Summer Ave Ste 233, Memphis, TN 38122-4417 2012-09-06
1922236546 Robert Allen Neimeyer Psychologist Department of Psychology 400 Innovation Dr, University of Memphis, Memphis, TN 38152-3230 2009-06-23
1477753564 Meghan Eileen Mcdevitt-murphy Psychologist 202 Psychology Bldg, University of Memphis, Memphis, TN 38152-3230 2007-07-18
1508086976 Charlotte L Kennedy Psychologist 4953 W Old Farm Rd, Memphis, TN 38125-3706 2007-04-26
1548381098 George Vance Stewart, Jr. Psychologist 5950 Shady Grove Rd, Memphis, TN 38120-2316 2007-04-03
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38104

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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