Active NPIIndividual provider

Kimberly E Fitzgibbon, PHD

Clinical Neuropsychologist in Andover, Massachusetts

NPI Number1255945135
Practice location
26 Chestnut St Ste 2E, Andover, MA 01810-3600
Fax
—
Last updated
September 8, 2020

Kimberly Ethridge Fitzgibbon is a Clinical Neuropsychologist based in Andover, MA. Kimberly Ethridge Fitzgibbon practices in Andover, MA and has the professional credentials of PHD. The NPI Number for Kimberly Ethridge Fitzgibbon is 1255945135. The current practice location address for Kimberly Ethridge Fitzgibbon is 26 Chestnut St Ste 2E, Andover, MA 01810-3600 and can be reached out via phone at 978-749-2700.

Provider Profile Details

NPI Number
1255945135
Provider Name
Kimberly Ethridge Fitzgibbon
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
26 Chestnut St Ste 2E, Andover, MA 01810-3600
Phone Number
978-749-2700
Primary Taxonomy
Clinical Neuropsychologist · 103G00000X
Sole Proprietor
No
Provider Enumeration Date
September 8, 2020
Last Update Date
September 8, 2020
Certification Date
September 8, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 Chestnut St Ste 2E
Andover, MA 01810-3600
Zip
01810-3600
Phone Number
978-749-2700
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
39 Centre St
Dover, MA 02030-2205
City
Dover
State
MA
Zip
02030-2205
Phone Number
617-645-8745

License Information

Taxonomy
Clinical Neuropsychologist · 103G00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kimberly E Fitzgibbon, PHD?

The NPI number of Kimberly E Fitzgibbon, PHD is 1255945135. It was assigned on September 8, 2020 and is currently active in the NPPES registry.

What is the specialty of Kimberly E Fitzgibbon, PHD?

Kimberly E Fitzgibbon, PHD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X).

Where does Kimberly E Fitzgibbon, PHD practice?

The practice location is 26 Chestnut St Ste 2E, Andover, MA 01810-3600. The office can be reached at 978-749-2700 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255945135 directly on the NPPES registry website.

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