Individual
DR. WILLIAM EUGENE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1250 HANCOCK ST, QUINCY, MA 02169-4339
(617) 774-0920
(617) 774-0925
Mailing address
1250 HANCOCK ST, QUINCY, MA 02169-4339
(617) 774-0920
(617) 774-0925
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
10427
MA
103TC0700X
Clinical Psychologist
Primary
10427
MA
103TP2701X
Group Psychotherapy Psychologist
10427
MA
Other
Enumeration date
07/09/2012
Last updated
09/09/2016
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