Fitzgibbon, Kimberly Ethridge
Fitzgibbon, Kimberly Ethridge is an individual health care provider with primary practice located at 26 Chestnut St Ste 2E , Andover MA 01810-3600. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Fitzgibbon, Kimberly Ethridge can be contacted via phone (978) 749-2700.Contact Information
Primary practice address
26 Chestnut St Ste 2E
Andover MA 01810-3600
Phone: (978) 749-2700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X |
Profile Details
| NPI number | 1255945135 |
|---|---|
| LBN Legal business name | Fitzgibbon, Kimberly Ethridge |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2020 |
| Last updated | Sep 8th, 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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