Rutledge, Larry L

Rutledge, Larry L is an sole proprietor health care provider with primary practice located at 111A Roosevelt Blouevard , Johnstown PA 15901. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Rutledge, Larry L can be contacted via phone (814) 619-4223.

Contact Information

Primary practice address
111A Roosevelt Blouevard Johnstown PA 15901
Phone: (814) 619-4223
Fax: (814) 539-0985
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PS-008498-L Pennsylvania
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS008498L Pennsylvania
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X PS-008498-L Pennsylvania

Profile Details

NPI number 1245236835
LBN Legal business name Rutledge, Larry L
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2005
Last updated Jul 13th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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