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

Dr. Russell F Fuller I, PSYD

Individual provider Clinical Psychologist · NPI 1912336413

Dr. Russell F Fuller I, PSYD is a Clinical Psychologist in LA Jolla, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

4225 Executive Sq Ste 1110
LA Jolla, CA 92037-9122
Phone: (858) 558-7707
Fax: (858) 558-7708
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY16530 (CA)

Record details

NPI number1912336413
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedNovember 5, 2013
Last updated in NPPESNovember 5, 2013

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