Burton Fullmer, LPC is a mental health counselor in Salt Lake City, UT. Burton Fullmer, LPC NPI is 1295087112. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5689 S REDWOOD RD
SUITE 30
SALT LAKE CITY, UT
ZIP 84123-447
Phone: (801) 268-1715
Fax: (801) 268-1783
The NPI 1295087112 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 10/3/2012 and was last updated on 10/3/2012.