Individual
DR. PAUL JOSEPH FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., LCPC
Contact information
Practice address
401 S LA SALLE ST, SUITE 1600-P, CHICAGO, IL 60605-1014
(708) 337-6936
(314) 675-6788
Mailing address
8031 42ND ST, LYONS, IL 60534-1101
(708) 337-6936
(314) 675-6788
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180-001119
IL
103TC0700X
Clinical Psychologist
Primary
071-008816
IL
Other
Enumeration date
04/09/2007
Last updated
05/19/2014
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