Provider Demographics
NPI:1184223364
Name:FULTON, CAROLINE E (PSYD)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:E
Last Name:FULTON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 NARRAGANSETT PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02861-4326
Mailing Address - Country:US
Mailing Address - Phone:401-227-7842
Mailing Address - Fax:
Practice Address - Street 1:175 NATE WHIPPLE HWY STE 202
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-1423
Practice Address - Country:US
Practice Address - Phone:401-405-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-20
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.010346103TC0700X
RIPS02327103TC2200X, 103TC0700X
IL071010346103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent