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NPI Code Detail

MEDICARE: MS. GERALDINE VERONICA FITZPATRICK LICENSEDPROFESSIONAL

MEDICARE: MS. GERALDINE VERONICA FITZPATRICK LICENSEDPROFESSIONAL
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
1101YM0800XMental Health CounselorPC000991PA

General Provider Information

NPI Number : 1770675746
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GERALDINE VERONICA FITZPATRICK LICENSEDPROFESSIONAL
Provider Business Mailing Address
First Line : 120 W WISSAHICKON AVE
Second Line :
City : FLOURTOWN
State : PA
Zip : 19031-1802
Country : US
Telephone Number : 215-914-4191
Fax Number :
Provider Business Practice Location Address
First Line : 521 MOREDON RD
Second Line :
City : HUNTINGDON VALLEY
State : PA
Zip : 19006-7705
Country : US
Telephone Number : 221-591-4419
Fax Number : 215-947-4197
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 07/08/2007

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Directions to “ MS. GERALDINE VERONICA FITZPATRICK LICENSEDPROFESSIONAL” Practice Location

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