Fitz-Gerald, Samantha

Fitz-Gerald, Samantha is an individual health care provider with primary practice located at 406 N State St , Clarks Summit PA 18411-1062. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fitz-Gerald, Samantha can be contacted via phone (570) 983-2863.

Contact Information

Primary practice address
406 N State St Clarks Summit PA 18411-1062
Phone: (570) 983-2863
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS018940 Pennsylvania

Profile Details

NPI number 1821516915
LBN Legal business name Fitz-Gerald, Samantha
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2017
Last updated Jan 6th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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