| Doctor Name: | MRS. SANDRA L FITZGERALD |
| NPI Number: | 1720060296 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC,LADC |
| License Number: | 000641 |
| Business Practice Address: | 64 Robbins St Crisis Intervention Center Waterbury, CT - 067082613 |
| Business Phone Number: | 2035736798 |
| Business Fax Number: | 2035737007 |
| Mailing Address: | 326 Todd Rd, WOLCOTT |
| State: | CT |
| Postal Code: | 067162831 |
| Phone Number: | 2038796287 |
| Fax Number: | |
| NPI Enumeration Date: | 11/18/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 000641 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |