Individual
LISA J. H. FITZGIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2406 SE COTTONWOOD ST STE 4, BENTONVILLE, AR 72712-4190
(479) 899-8828
Mailing address
2406 SE COTTONWOOD ST STE 4, BENTONVILLE, AR 72712-4190
(479) 899-8828
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
07-19P
AR
103TC0700X
Clinical Psychologist
32121
TX
103TC0700X
Clinical Psychologist
894
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-19P
LICENSE
AR
01
—
32121
LICENSE
TX
01
—
894
STATE LICENSE
OK
Enumeration date
02/19/2007
Last updated
08/04/2026
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