Fitzgerald, Jarod John

Fitzgerald, Jarod John is an individual health care provider with primary practice located at 1203 Idaho St , Lewiston ID 83501-1940. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fitzgerald, Jarod John can be contacted via phone (208) 848-8300.

Contact Information

Primary practice address
1203 Idaho St Lewiston ID 83501-1940
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY3410 Washington
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-202347 Idaho

Profile Details

NPI number 1477690576
LBN Legal business name Fitzgerald, Jarod John
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jun 11th, 2024 - about last year

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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