Individual
DR. WARREN D FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
54 S STATE ST, CONCORD, NH 03301-3622
(603) 224-5140
(603) 224-8070
Mailing address
54 S STATE ST, CONCORD, NH 03301-3622
(603) 224-5140
(603) 224-8070
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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