Mary Fitzgibbons PH.D

NPI 1679752562 - Psychologist - 103TC1900X

NPI Details
NPI 1679752562
Gender Female
Enumeration Date 10/29/2007
Last Updated 10/30/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
12125 WOODCREST EXECUTIVE DR
SAINT LOUIS MO, 63141-5001, US
Phone (314) 275-8599
Fax
Business Location
12125 WOODCREST EXECUTIVE DR
SAINT LOUIS MO, 63141-5001, US
Phone (314) 275-8599
Fax
Toxanomy
Taxonomy Code 103TC1900X
License State Missouri
License Number 00944
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According to our database, Mary Fitzgibbons PH.D NPI is 1679752562, taxonomy code is 103TC1900X and license number is 00944, license state is located at Missouri. Mary Fitzgibbons PH.D physically located at 12125 Woodcrest Executive Dr, Saint Louis MO, 63141-5001. NPI Number Mary Fitzgibbons PH.D has the Individual type.

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1679752562 NPI number is provided on an as is basis without warranty of any kind. 1679752562 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Fitzgibbons PH.D are for informational purposes only.