DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. JAROD JOHN FITZGERALD PH.D.

MEDICARE: DR. JAROD JOHN FITZGERALD PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPY3410WA
2103TC0700XClinical PsychologistPSY-202347ID

General Provider Information

NPI Number : 1477690576
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAROD JOHN FITZGERALD PH.D.
Provider Business Mailing Address
First Line : 611 N IRON BRIDGE WAY
Second Line :
City : SPOKANE
State : WA
Zip : 99202-4932
Country : US
Telephone Number : 509-444-8888
Fax Number :
Provider Business Practice Location Address
First Line : 1203 IDAHO ST
Second Line :
City : LEWISTON
State : ID
Zip : 83501-1940
Country : US
Telephone Number : 208-848-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 06/11/2024

Similar Medicare Providers

1184568552 — BREANNA MEKALAH COLVIN RN
Practice Location Address:
1203 IDAHO ST
LEWISTON, ID
83501-1940
Practice Phone: 509-444-8200
Practice Fax:
1386676039 — MRS. MELISSA LEE PARK MD
Practice Location Address:
1203 IDAHO ST
LEWISTON, ID
83501-1940
Practice Phone: 509-444-8888
Practice Fax:
1609937465 — TODD KOLB RPH
Practice Location Address:
1203 IDAHO ST
LEWISTON, ID
83501-1940
Practice Phone: 509-444-8200
Practice Fax:
1861669988 — KIMBERLY JORDAN CAMPBELL M.D.
Practice Location Address:
1203 IDAHO ST
LEWISTON, ID
83501-1940
Practice Phone: 509-444-8200
Practice Fax:
1437317989 — ALICIA FLYNNE POWELL MSW
Practice Location Address:
1203 IDAHO ST
LEWISTON, ID
83501-1940
Practice Phone: 509-444-8200
Practice Fax: 509-434-0392
1992943385 — PHILLIP SMITH
Practice Location Address:
1203 IDAHO ST
LEWISTON, ID
83501-1940
Practice Phone: 509-444-8888
Practice Fax:

Directions to “ DR. JAROD JOHN FITZGERALD PH.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.