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FITZGERALD PSYCHOLOGICAL SERVICES LLC NPI 1386118099


NPI Information

NPI: 1386118099
Provider Name: FITZGERALD PSYCHOLOGICAL SERVICES LLC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
1180 BEACON ST
STE 4B
BROOKLINE, MA
ZIP 02446
Phone: (781) 474-2535
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FITZGERALD PSYCHOLOGICAL SERVICES LLC is a clinical neuropsychologist in Brookline, MA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. FITZGERALD PSYCHOLOGICAL SERVICES LLC NPI is 1386118099. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1180 BEACON ST
STE 4B
BROOKLINE, MA
ZIP 02446-806
Phone: (781) 474-2535

The provider's authorized official is Kara Marie Fitzgerald .
The authorized official title is Manager and has the following contact phone number (781) 478-2535.

The enumeration date for this NPI number is 1/15/2019 and was last updated on 1/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistYes
2103T00000XPsychologistNo
3103TA0700XPsychologistAdult Development & AgingNo
4103TB0200XPsychologistCognitive & BehavioralNo
5103TC0700XPsychologistClinicalNo
6103TC1900XPsychologistCounselingNo
7103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
8103TR0400XPsychologistRehabilitationNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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