Fitzsimmons, Cynthia R

Fitzsimmons, Cynthia R is an sole proprietor health care provider with primary practice located at 313 Walnut St Ste 107 , Wilmington NC 28401-4063. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fitzsimmons, Cynthia R can be contacted via phone (910) 805-8205.

Contact Information

Primary practice address
313 Walnut St Ste 107 Wilmington NC 28401-4063
Phone: (910) 805-8205
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1136 South Carolina
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 3855 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1136 South Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3855 North Carolina

Profile Details

NPI number 1699002089
LBN Legal business name Fitzsimmons, Cynthia R
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2009
Last updated Aug 17th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699002089 NPPES
South Carolina MEDICAID PS0469

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