Organization
TEAL L. FITZPATRICK, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEAL L. FITZPATRICK PH.D. (CLINICAL PSYCHOLOGIST)
(412) 532-9460
Entity
Organization
Contact information
Practice address
307 4TH AVE STE 1100, PITTSBURGH, PA 15222-2107
(412) 532-9460
Mailing address
4037 HOWLEY ST, PITTSBURGH, PA 15224-1438
(917) 566-7500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031000300001
—
PA
Enumeration date
10/15/2018
Last updated
10/15/2018
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