Dr. Mickey Joe Fuller, MA, MS, PSYD

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1427017573

Dr. Mickey Joe Fuller, MA, MS, PSYD is a Clinical Psychologist in Moab, Utah. Qualified in 2000, 26 years ago. Practices with Therapy Associates PC, a 9-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying: 26
Licensed in: UT
In the registry since: 2006
Specialties on file: 2

What do these letters mean?

MA — Master of Arts: A graduate arts degree.
MS — Master of Science: A graduate science degree.
PSYD — Doctor of Psychology: A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

198 E Center St
Moab, UT 84532-2430
Phone: (435) 259-6131
Fax: (435) 259-5369

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary)	Taxonomy 101YP2500X · Licence 5329261-6010 (UT)
Addiction (Substance Use Disorder) Counselor	Taxonomy 101YA0400X · Licence 5329261-6006 (UT)

Record details

NPI number	1427017573
Entity type	Individual (Type 1)
Gender	Male
Credentials	MA , MS , PSYD
Sole proprietor	No
NPI enumerated	March 18, 2006
Last updated in NPPES	November 9, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	CLINICAL PSYCHOLOGIST
Medical school	OTHER
Graduated	2000 (26 years in practice)
Group practice	Therapy Associates Pc — 9 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount