Pamela R Fuller (NPI# 1053469452, PAC ID# 0244323566) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1053469452 |
| PAC ID by PECOS | 0244323566 |
| Professional Enrollment ID | I20070831000642 |
| Full Name | Pamela R Fuller |
| Organization Legal Name | FRONTIER PSYCHOLOGICAL ASSOCIATES |
| Address |
724 Front St Suite 230 Evanston WY 82930-3568 |
| Phone Number | 3077896773 |
| Gender | F |
| Graduation Year | 1994 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 4981664901 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 724 Front St, Suite 230, Evanston, WY 82930-3568 | 3077896773 | FRONTIER PSYCHOLOGICAL ASSOCIATES |
| Organization Legal Name | FRONTIER PSYCHOLOGICAL ASSOCIATES |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juliet L Jett | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| Cora J Klotzbach | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| Denise M Debarre | Clinical Psychologist | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| Street Address |
724 FRONT ST SUITE 230 |
| City | EVANSTON |
| State | WY |
| Zip | 82930-3568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juliet L Jett | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| Cora J Klotzbach | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| Denise M Debarre | Clinical Psychologist | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol D Davis | Occupational Therapy | 612 County Club Dr, Ot Services, Evanston, WY 82930 | |
| Vickie L Wood | Clinical Social Worker | Pioneer Counseling Services | 949 Ctr St, Evanston, WY 82930-3430 |
| William Bruce Bourland | Optometry | 701 Front St, Evanston, WY 82930-3522 | |
| David R Russell | Optometry | 720 6th St, Evanston, WY 82930-3702 | |
| Suzanne Petren | Clinical Psychologist | Mountain Regional Services, Inc | 50 Allegiance Cir, Evanston, WY 82930-3804 |
| Sheri L Montgomery | Occupational Therapy | 152 Fox Point Loop Rd, Evanston, WY 82930-4784 | |
| Mark Z Brinkerhoff | Physical Therapy | 170 Yellow Creek Rd D, Evanston, WY 82930-5200 | |
| James D Sutton | Physician Assistant | Bear Lake Community Health Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5205 |
| Sarah Renee Eldredge | Physician Assistant | Bear Lake Community Health Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5205 |
| Jenna B Pitman | Physician Assistant | Bear Lake Community Health Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5205 |
| Find all physicians in zip 82930 | |||
| City | EVANSTON |
| Zip Code | 82930 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | EVANSTON + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Pamela R Fuller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.