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Organization
NULTON DIAGNOSTIC AND TREATMENT CENTER
Active
Organization
NULTON DIAGNOSTIC AND TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY J NULTON PHD (PRESIDENT)
(814) 262-0025
Entity
Organization
Contact information
Practice address
608 E PITT ST, BEDFORD, PA 15522-9723
(814) 624-3121
Mailing address
214 COLLEGE PARK PLZ, JOHNSTOWN, PA 15904-2833
(814) 262-0025
(814) 266-8745
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
314080
PA
103T00000X
Psychologist
314080
PA
104100000X
Social Worker
314080
PA
1041C0700X
Clinical Social Worker
Primary
314080
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007324900011
—
PA
Enumeration date
03/13/2007
Last updated
09/11/2025
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