Individual
DR. DAVID J FITZGIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
190 WESTBROOK RD, ESSEX, CT 06426-1518
(860) 767-7190
(860) 767-0512
Mailing address
190 WESTBROOK RD, ESSEX, CT 06426-1518
(860) 767-7190
(860) 767-0512
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0000388
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060000388CT02
BLUE CROSS BLUE SHIELD
CT
Enumeration date
09/22/2006
Last updated
07/08/2007
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