Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Elisa Brown Fuller, PHD

Individual provider Clinical Psychologist · NPI 1669721684

Dr. Elisa Brown Fuller, PHD is a Clinical Psychologist in Los Angeles, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5880 San Vicente Blvd Ste 103
Los Angeles, CA 90019-6667
Phone: (310) 295-9571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY32819 (CA)

Record details

NPI number1669721684
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 5, 2012
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025
Mailing address10736 Jefferson Blvd # 412, Culver City, CA 90230-4933

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