Dr John Reynolds Fullerton, DED - Psychologist in Lebanon, PA

Dr John Reynolds Fullerton, DED is a Psychologist based in Lebanon, Pennsylvania. Dr John Reynolds Fullerton is licensed to practice in Pennsylvania (license number PS001071L) and his current practice location is Va Medical Center (620), 1700 Lincoln Avenue, Lebanon, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (717) 272-6621.

NPI number for Dr John Reynolds Fullerton is 1255431037 and his current mailing address is 102 Timber Villa, Elizabethtown, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255431037.

Contact Information

Dr John Reynolds Fullerton, DED
Va Medical Center (620), 1700 Lincoln Avenue,
Lebanon, PA 17042-0000
(717) 272-6621
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr John Reynolds Fullerton
GenderMale
SpecialityPsychologist
LocationVa Medical Center (620), Lebanon, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255431037
  • Provider Enumeration Date: 09/22/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr John Reynolds Fullerton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255431037NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PS001071L (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Reynolds Fullerton is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John Reynolds Fullerton, DED
102 Timber Villa,
Elizabethtown, PA 17022-9223

Ph: (717) 367-1005
Dr John Reynolds Fullerton, DED
Va Medical Center (620), 1700 Lincoln Avenue,
Lebanon, PA 17042-0000

Ph: (717) 272-6621

Reviews and Comments


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