Lisa J. H. Fitzgibbons in Bentonville - Clinical
Lisa J. H. Fitzgibbons - NPI 1871637132
Lisa J. H. Fitzgibbons is a Clinical in Bentonville, Arkansas. Lisa J. H. Fitzgibbons practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa J. H. Fitzgibbons is 1871637132. The last update date is 2018-12-12.
Lisa J. H. Fitzgibbons's current location address is Po Box 2449, Bentonville, Arkansas. You can contact this provider via phone number 4792718778 and fax number 8882076093. The mailing address for Lisa J. H. Fitzgibbons is Po Box 2449, Bentonville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa J. H. Fitzgibbons |
|---|---|
| Address | Po Box 2449, Bentonville, Arkansas |
| Phone Number | 4792718778 |
| Fax Number | 8882076093 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1871637132 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2018-12-12 |
Provider Mailing Address Detail
| Address | Po Box 2449 |
|---|---|
| City | Bentonville |
| State | Arkansas (AR) |
| Post Code | 727122449 |
| Phone Number | 4792718778 |
| Fax Number | 8882076093 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 894 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 07-19P | AR | LICENSE | |
| 32121 | TX | LICENSE | |
| 894 | OK | STATE LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Lisa J. H. Fitzgibbons by the Centers for Medicare & Medicaid Services?
The Lisa J. H. Fitzgibbons has been issued the NPI (National Provider Identifier) 1871637132. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lisa J. H. Fitzgibbons's facilities are geographically located?
The facilities of Lisa J. H. Fitzgibbons are physically situated at the following location: Po Box 2449, Bentonville, AR, 727122449.
What is the Lisa J. H. Fitzgibbons's specialty and taxonomy code?
The Lisa J. H. Fitzgibbons's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did Lisa J. H. Fitzgibbons receive its 1871637132 assignment?
The Lisa J. H. Fitzgibbons was assigned its 1871637132 on 2007-02-19, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Lisa J. H. Fitzgibbons most recently updated or revised?
The information pertaining to Lisa J. H. Fitzgibbons, including its address, specialty, and other relevant details, was last updated or revised on 2018-12-12.
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