Organization
PEER ASSOCIATES LLC
Active
Other names
Peercovery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY J. NULTON PH.D. (MEMBER)
(814) 262-0025
Entity
Organization
Contact information
Practice address
117 W GAY ST STE 336, WEST CHESTER, PA 19380-2938
(814) 262-0025
(814) 262-6166
Mailing address
117 W GAY ST STE 336, WEST CHESTER, PA 19380-2938
(814) 262-0025
(814) 262-6166
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145510
—
PA
Enumeration date
02/21/2020
Last updated
02/21/2020
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