Larry J Nulton, PHD | |
214 College Park Plz, Johnstown, PA 15904-2833 | |
(814) 262-0025 | |
(814) 266-8745 |
Full Name | Larry J Nulton |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 29 Years |
Location | 214 College Park Plz, Johnstown, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497896906 | NPI | - | NPPES |
1524550 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PS007732L (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nulton Diagnostic Andtreatment Center, Pc | 5294621363 | 33 |
Entity Name | Nulton Diagnostic &treatment Center, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073573010 PECOS PAC ID: 5294621363 Enrollment ID: O20040225000665 |
Mailing Address | Practice Location Address |
---|---|
Larry J Nulton, PHD 214 College Park Plz, Johnstown, PA 15904-2833 Ph: (814) 262-0025 | Larry J Nulton, PHD 214 College Park Plz, Johnstown, PA 15904-2833 Ph: (814) 262-0025 |
Tammy K Haslett, PH D Psychologist Medicare: Medicare Enrolled Practice Location: 334 Bloomfield St, Suite 204, Johnstown, PA 15904 Phone: 814-266-5238 Fax: 814-266-1762 | |
Philip Patrick Garman, MA. ED.S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 131 Market St, Johnstown, PA 15901 Phone: 814-534-0835 Fax: 814-539-8440 | |
Carmella Walker, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 131 Market St, Johnstown, PA 15901 Phone: 814-535-2277 Fax: 814-539-0475 | |
Joshua Watt, PSY. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 865 Eisenhower Blvd., Johnstown, PA 15904 Phone: 814-266-8840 Fax: 814-266-2176 | |
Dr. Grant Waldo Croyle, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1450 Scalp Ave, Ste 209, Johnstown, PA 15904 Phone: 814-266-3196 Fax: 814-266-6296 | |
Dr. Shannon Maureen Nicoloff, PSY.D., L.P., RPT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 323 Budfield St, Johnstown, PA 15904 Phone: 651-894-2916 | |
Dr. Ryan Patrick Dunne, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 320 Main St, 2nd Floor, Johnstown, PA 15901 Phone: 814-534-1095 Fax: 814-534-6145 |