Individual
AMANDA FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
9628 BRENDEN DR, FORT WORTH, TX 76108-3883
(405) 633-4952
Mailing address
9628 BRENDEN DR, FORT WORTH, TX 76108-3883
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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