Individual
DR. WARREN D FITZGERALD
Active
Individual
DR. WARREN D FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
133
NH
103TA0400X
Addiction (Substance Use Disorder) Psychologist
AD003482
NH
103TA0700X
Adult Development & Aging Psychologist
133
NH
103TB0200X
Cognitive & Behavioral Psychologist
133
NH
103TC0700X
Clinical Psychologist
Primary
133
NH
103TC2200X
Clinical Child & Adolescent Psychologist
133
NH
103TF0000X
Family Psychologist
133
NH
103TH0100X
Health Service Psychologist
133
NH
103TS0200X
School Psychologist
22111
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80622846
—
NH
Enumeration date
02/01/2007
Last updated
11/03/2010
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