# Jordan S Fuller, PhD

- **NPI:** 1093598484
- **NPI Type:** Individual
- **Status:** Active
- **Enumeration date:** 2023-08-17
- **Last updated:** 2023-08-17
- **Practice address:** 3011 Baltimore Ave, Kansas City, MO 64108-3403
- **Mailing address:** 17751 Wexford St, Roseville, MI 48066-4629
- **Phone:** 159-874-6836

## Taxonomy

| Code | Description | License | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 6301019267 | MI | Yes |

## Provider directory

- [Psychologists in Missouri](https://www.verifytx.com/npi-lookup/taxonomy/psychologist/MO/)
- [Counselors in Missouri](https://www.verifytx.com/npi-lookup/taxonomy/counselor/MO/)
- [Substance use rehabilitation facilities in Missouri](https://www.verifytx.com/npi-lookup/taxonomy/substance-abuse-rehabilitation-facility/MO/)
- [Psychiatric hospitals in Missouri](https://www.verifytx.com/npi-lookup/taxonomy/psychiatric-hospital/MO/)
- [Psychiatric residential treatment facilities in Missouri](https://www.verifytx.com/npi-lookup/taxonomy/psychiatric-residential-treatment-facility/MO/)
- [Skilled nursing facilities in Missouri](https://www.verifytx.com/npi-lookup/taxonomy/skilled-nursing-facility/MO/)

## Data Notice:

The information provided by VerifyTreatment (VerifyTX) is sourced from the publicly available NPPES database, in accordance with the NPPES Data Dissemination Notice, Freedom of Information Act (FOIA), and e-FOIA amendments. Data is offered “as is” without warranty as to accuracy or reliability. For official NPI assistance, contact the NPI Enumerator at (800) 465-3203 or P.O. Box 6059, Fargo, ND 58108.

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