Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. John Reynolds Fullerton, DED

Individual provider Psychologist · NPI 1255431037

Dr. John Reynolds Fullerton, DED is a Psychologist in Lebanon, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2006
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Practice location Address checks out

VA Medical Center (620) 1700 Lincoln Ave
Lebanon, PA 17042-0000
Phone: (717) 272-6621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PS001071L (PA)

Record details

NPI number1255431037
Entity typeIndividual (Type 1)
GenderMale
Credentials DED
Sole proprietorYes
NPI enumeratedSeptember 22, 2006
Last updated in NPPESJuly 8, 2007

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