Organization
KATHLEEN FITZGERALD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN FITZGERALD CCC-SLP (OWNER)
(970) 222-2197
Entity
Organization
Contact information
Practice address
1717 W DRAKE RD APT 5C, FORT COLLINS, CO 80526-1674
(970) 222-2197
Mailing address
1717 W DRAKE RD APT 5C, FORT COLLINS, CO 80526-1674
(970) 222-2197
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46170090
—
CO
Enumeration date
08/07/2008
Last updated
08/07/2008
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