Organization
FITZGIBBONS PSYCHOLOGICAL WEST COUNTY PSYCHOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY FITZGIBBONS (DIRECTOR)
(314) 275-8599
Entity
Organization
Contact information
Practice address
12125 WOODCREST EXECUTIVE DR, SAINT LOUIS, MO 63141-5001
(314) 275-8599
Mailing address
12125 WOODCREST EXECUTIVE DR, SAINT LOUIS, MO 63141-5001
(314) 275-8599
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00944
MO
Other
Enumeration date
10/26/2010
Last updated
04/14/2015
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