MS. MARY ANN D FITZGERALD PC NPI 1588868277

NPI Information

  • NPI: 1588868277
  • Provider Name: MS. MARY ANN D FITZGERALD, PC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 415 SILAS DEANE HWY STE 220
    A BALANCED LIFE COUNSELING CENTER, LLC
    WETHERSFIELD, CT
    ZIP 06109
  • Phone: (860) 529-1696

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NPI Details

MS. Mary Ann D Fitzgerald, PC is a professional counselor in Wethersfield, CT. MS. Mary Ann D Fitzgerald, PC NPI is 1588868277. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

415 SILAS DEANE HWY STE 220
A BALANCED LIFE COUNSELING CENTER, LLC
WETHERSFIELD, CT
ZIP 06109-119
Phone: (860) 529-1696
Fax: (860) 529-1696

The enumeration date for this NPI number is 6/14/2007 and was last updated on 11/22/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional000949CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1240000949CT02OTHERCONNECTICUTANTHEM

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: 11/21/2025

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