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

Dwight E Fultz, PHD, LP

Individual provider Psychologist · NPI 1033628805

Dwight E Fultz, PHD, LP is a Psychologist in Park Rapids, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2017
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

1003 Hollinger St
Park Rapids, MN 56470-1300
Phone: (218) 366-2636
Fax: (218) 366-2087
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP4277 (MN)

Record details

NPI number1033628805
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LP
Sole proprietorYes
NPI enumeratedSeptember 25, 2017
Last updated in NPPESSeptember 25, 2017
Mailing address2310 S Lake Irving Dr Sw, Bemidji, MN 56601-8859

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