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Individual

ERIN FITZSIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
2334 ELLSWORTH ST, PHILADELPHIA, PA 19146-2420
(901) 626-5525
Mailing address
2334 ELLSWORTH ST, PHILADELPHIA, PA 19146-2420

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS019782
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS019782
PENNSYLVANIA DEPARTMENT OF STATE
PA
Enumeration date
01/26/2023
Last updated
01/26/2023
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