# FITZGERALD PSYCHOLOGICAL SERVICES, P.S.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710322755
- **Authorized official:** DR. JAROD JOHN FITZGERALD PH.D. (LICENSED PSYCHOLOGIST)
- **Authorized official phone:** (509) 758-9698

## Contact information

- **Practice address:** 629 6TH ST, CLARKSTON, WA 99403-2010
- **Practice address phone:** (509) 758-9698
- **Practice address fax:** (509) 758-9664
- **Mailing address:** 629 6TH ST, CLARKSTON, WA 99403-2010
- **Mailing address phone:** (509) 758-9698
- **Mailing address fax:** (509) 758-9664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2013
- **Last updated:** 05/03/2013