Individual
SAMANTHA FITZ-GERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
406 N STATE ST, CLARKS SUMMIT, PA 18411-1062
(570) 983-2863
Mailing address
502 N BLAKELY ST, DUNMORE, PA 18512-1943
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PS018940
PA
Other
Enumeration date
09/08/2017
Last updated
01/06/2020
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