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

Dr. Pamela R Fuller, PHD

Individual provider Psychologist · NPI 1053469452

Dr. Pamela R Fuller, PHD is a Clinical Psychologist in Evanston, Wyoming. Qualified in 1994, 32 years ago. Accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
32
Licensed in
WY
In the registry since
2007
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

724 Frnt Street Ste 230
Evanston, WY 82930
Phone: (307) 789-6773
Fax: (307) 789-3244
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 307 (WY)

Record details

NPI number1053469452
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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