MATTHEW FULLER NPI 1750946950

NPI Information

NPI: 1750946950
Provider Name: MATTHEW FULLER
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
50 BUCK CREEK RD STE 200
AVON, CO
ZIP 81620
Phone: (970) 926-6340
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Matthew Fuller is a mental health counselor in Avon, CO. Matthew Fuller NPI is 1750946950. 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:

50 BUCK CREEK RD STE 200
AVON, CO
ZIP 81620-428
Phone: (970) 926-6340
Fax: (970) 926-6348

The enumeration date for this NPI number is 5/3/2019 and was last updated on 12/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	IMH18270	FLORIDA	No
2	101YM0800X	Counselor	Mental Health	LPC.0017626	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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