Provider Demographics
NPI:1386077402
Name:FRITZINGER, JASON M (MS ED)
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:M
Last Name:FRITZINGER
Suffix:
Gender:M
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 NEFFS LAURYS RD
Mailing Address - Street 2:
Mailing Address - City:SLATINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18080-4137
Mailing Address - Country:US
Mailing Address - Phone:484-515-5319
Mailing Address - Fax:
Practice Address - Street 1:2250 NEFFS LAURYS RD
Practice Address - Street 2:
Practice Address - City:SLATINGTON
Practice Address - State:PA
Practice Address - Zip Code:18080-4137
Practice Address - Country:US
Practice Address - Phone:484-515-5319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst