Active NPIIndividual provider

Dr. Laura A Fuller-Polhamus, PSYD

Psychologist in Somerville, New Jersey

NPI Number1093044653
Practice location
134 W End Ave, Somerville, NJ 08876-1816
Fax
—
Last updated
March 15, 2019

Laura Ashley Fuller-Polhamus is a Psychologist based in Somerville, NJ. Laura Ashley Fuller-Polhamus practices in Somerville, NJ and has the professional credentials of PSYD. The NPI Number for Laura Ashley Fuller-Polhamus is 1093044653 and holds a License No. 5909 (NJ). The current practice location address for Laura Ashley Fuller-Polhamus is 134 W End Ave, Somerville, NJ 08876-1816 and can be reached out via phone at 908-333-4646.

Provider Profile Details

NPI Number
1093044653
Provider Name
Laura Ashley Fuller-Polhamus
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
134 W End Ave, Somerville, NJ 08876-1816
Phone Number
908-333-4646
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Provider Enumeration Date
December 10, 2009
Last Update Date
March 15, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
134 W End Ave
Somerville, NJ 08876-1816
Zip
08876-1816
Phone Number
908-333-4646
Somerville, NJ 08876Get directions →

Provider Business Mailing Address Details

Address
134 W End Ave
Somerville, NJ 08876-1816
City
Somerville
State
NJ
Zip
08876-1816
Phone Number
908-333-4646

License Information

License Number (2)
5909
License State (2)
NJ
Taxonomy (2)
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Laura A Fuller-Polhamus, PSYD?

The NPI number of Dr. Laura A Fuller-Polhamus, PSYD is 1093044653. It was assigned on December 10, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Laura A Fuller-Polhamus, PSYD?

Dr. Laura A Fuller-Polhamus, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 5909.

Where does Dr. Laura A Fuller-Polhamus, PSYD practice?

The practice location is 134 W End Ave, Somerville, NJ 08876-1816. The office can be reached at 908-333-4646 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093044653 directly on the NPPES registry website.

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