Fitzgibbons, Mary
Fitzgibbons, Mary is an sole proprietor health care provider with primary practice located at 12125 Woodcrest Executive Dr , Saint Louis MO 63141-5001. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Fitzgibbons, Mary can be contacted via phone (314) 275-8599.Contact Information
Primary practice address
12125 Woodcrest Executive Dr
Saint Louis MO 63141-5001
Phone: (314) 275-8599
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 00944 | Missouri |
Profile Details
NPI number | 1679752562 |
---|---|
LBN Legal business name | Fitzgibbons, Mary |
Credentials | PH.D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 29th, 2007 |
Last updated | Oct 30th, 2007 - about 17 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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