MEDICARE: OLIVIA MCNULTY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1982383899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA MCNULTY

Provider Business Mailing Address
First Line	:	5 COLONIAL PL
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1418
Country	:	US
Telephone Number	:	412-709-1395
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 COLONIAL PL
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1418
Country	:	US
Telephone Number	:	412-709-1395
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2023
Last Update Date	:	07/17/2023

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Directions to “ OLIVIA MCNULTY ” Practice Location

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