Doctor Name: | ANGELA FITZPATRICK |
NPI Number: | 1063881035 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | 66595 |
Business Practice Address: | 303 S Highway 78 Suite 100 Wylie, TX - 750983944 |
Business Phone Number: | 4693423468 |
Business Fax Number: | 4693423466 |
Mailing Address: | 208 Creekview Dr, WYLIE |
State: | TX |
Postal Code: | 750987481 |
Phone Number: | 9728046300 |
Fax Number: | 4693423466 |
NPI Enumeration Date: | 09/21/2015 |
NPI Last Update Date: | 09/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 66595 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |