| Doctor Name: | MRS. GLENDA FRANCES FITZGERALD |
| NPI Number: | 1659404978 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 111521 |
| Business Practice Address: | 951 W College St Troy R-iii Troy, MO - 633791112 |
| Business Phone Number: | 6364626098 |
| Business Fax Number: | 6365282411 |
| Mailing Address: | 739 Giles Rd, TROY |
| State: | MO |
| Postal Code: | 633794221 |
| Phone Number: | 6365286507 |
| Fax Number: | 6365282411 |
| NPI Enumeration Date: | 03/14/2007 |
| NPI Last Update Date: | 02/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 111521 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |