Fitzgerald, Marietta Windham
Fitzgerald, Marietta Windham is an sole proprietor health care provider with primary practice located at 115 N Pinewood Ave , Brandon FL 33510-4632. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fitzgerald, Marietta Windham can be contacted via phone (813) 661-1960.Contact Information
Primary practice address
115 N Pinewood Ave
Brandon FL 33510-4632
Phone: (813) 661-1960
Fax: (813) 661-1960
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH 8828 | Florida |
Profile Details
| NPI number | 1104092139 |
|---|---|
| LBN Legal business name | Fitzgerald, Marietta Windham |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2008 |
| Last updated | Apr 30th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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