Provider Demographics
NPI:1386239754
Name:FITZPATRICK, MAUREEN (MA, CF-SLP)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 BELFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-4211
Mailing Address - Country:US
Mailing Address - Phone:215-313-9294
Mailing Address - Fax:
Practice Address - Street 1:1220 BELFIELD AVE
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-4211
Practice Address - Country:US
Practice Address - Phone:215-313-9294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-07
Last Update Date:2021-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist