Individual
KAITLIN FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 E 88TH ST, APT 5B, NEW YORK, NY 10128-7722
(516) 754-0062
Mailing address
506 E 88TH ST, APT 5B, NEW YORK, NY 10128-7722
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
916296151
NY
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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