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Dwight E Fultz, PHD,LP
Psychologist in Park Rapids, Minnesota
NPI 1033628805

Dwight E Fultz is a Psychologist based in Bemidji, MN. Dwight E Fultz practices in Park Rapids, MN and has the professional credentials of PHD,LP. The NPI Number for Dwight E Fultz is 1033628805 and holds a License No. LP4277 (Minnesota).

The current practice location address for Dwight E Fultz is 1003 Hollinger St, Park Rapids, MN and can be reached out via phone at 218-366-2636 and via fax at 218-366-2087.

Location: 1003 Hollinger St, Park Rapids, MN, 56601-8859
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033628805
Provider Name
Dwight E Fultz
Credential
PHD,LP
Provider Entity Type
Individual
Gender
Male
Address
1003 Hollinger St, Park Rapids, MN, 56601-8859
Phone Number
218-366-2636
Fax Number
218-366-2087
Provider Enumeration Date
09/25/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LP4277 01 MN STATE OF MINNESOTA - MINNESOTA BOARD OF PSYCHOLOGY
institution
Provider Business Practice Location Address Details
Address
1003 Hollinger St
City
Park Rapids
State
Minnesota
Zip
56470-1300
Phone Number
218-366-2636
Fax Number
218-366-2087
person
Provider Business Mailing Address Details
Address
1003 Hollinger St
City
Park Rapids
State
Minnesota
Zip
56470-1300
Phone Number
218-366-2636
Fax Number
218-366-2087
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
LP4277 (Minnesota)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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