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Contact Information

JACQUELINE N FULCHER, PHD, LMSW
23327 N 44TH PL
PHOENIX, AZ85050-8799
 Phone: 520-981-0618
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JACQUELINE N FULCHER · (Female)

NPI Number 1285960435
Status Active
Credentials PHD, LMSW
Entity Individual
Enumeration date 10/22/2009
Last updated 01/05/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # PSY-005312
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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