Individual
CYNTHIA R FITZSIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
313 WALNUT ST STE 107, WILMINGTON, NC 28401-4063
(910) 805-8205
Mailing address
313 WALNUT ST STE 107, WILMINGTON, NC 28401-4063
(910) 805-8205
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1136
SC
103G00000X
Clinical Neuropsychologist
3855
NC
103TC0700X
Clinical Psychologist
1136
SC
103TC0700X
Clinical Psychologist
Primary
3855
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0469
—
SC
Enumeration date
11/05/2009
Last updated
08/17/2020
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