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JILL M. FULTZ M.S., L.L.P.
NPI 1659405629
Psychologist - Clinical in Canton, MI

Active since March 14, 2007
43825 MICHIGAN AVE, CANTON, MI 48188(734) 397-3088 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jill M. Fultz M.s., L.l.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILL M. FULTZ M.S., L.L.P. (NPI 1659405629) is an individual clinical provider in Canton, Michigan, licensed in Michigan (6301012299) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1659405629
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJILL M. FULTZCredential: M.S., L.L.P.
Location Address43825 MICHIGAN AVECanton, MI 48188-2551
Mailing Address42658 Somerset DrCanton, MI 48187-3023 · (734) 981-4285
Phone(734) 397-3088
Sole ProprietorNo
Enumeration DateMarch 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659405629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301012299
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
43825 MICHIGAN AVE, Canton, MI 48188
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANESSA LYNN SANDERS RN
Registered Nurse (Addiction (Substance Use Disorder))
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
FLORENCE IGBAWUA
Social Worker
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MR. JONATHAN AARON KOZIEL NP
Family Medicine
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
KENNAYA YAUQUAN DAVIS LPN
Licensed Practical Nurse
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MR. TYLER MANNS
Counselor (Addiction (Substance Use Disorder))
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MANDY GRAHAM
Peer Specialist
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MR. ROY HELTON LPN
Licensed Practical Nurse
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
KELLI HACKEL
Registered Nurse (Addiction (Substance Use Disorder))
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Fultz's NPI number?

The NPI number for Jill Fultz is 1659405629. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Jill Fultz located?

Jill Fultz practices at 43825 Michigan Ave, Canton, MI 48188. The listed phone number is (734) 397-3088.

What is Jill Fultz's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jill Fultz was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.