Individual
LARRY J NULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
214 COLLEGE PARK PLZ, JOHNSTOWN, PA 15904-2833
(814) 262-0025
(814) 266-8745
Mailing address
214 COLLEGE PARK PLZ, JOHNSTOWN, PA 15904-2833
(814) 262-0025
(814) 266-8745
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS007732L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1524550
—
PA
Enumeration date
02/08/2007
Last updated
11/30/2011
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