Individual provider · NPI-1

Cynthia R Fitzsimmons, Psy.D.

Psychologist, Clinical · Wilmington, NC

NPI number1699002089
StatusActive
Last updated in NPPESAug 17, 2020

Details

NPI
1699002089
Entity type
Individual (NPI-1)
Name
Cynthia R Fitzsimmons
Credential
Psy.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 5, 2009
Certification date
Aug 17, 2020
Last updated
Aug 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical3855NCYes
103G00000X Clinical Neuropsychologist1136SC
103G00000X Clinical Neuropsychologist3855NC
103TC0700X Psychologist, Clinical1136SC

Practice location

313 Walnut St Ste 107
Wilmington, NC 28401-4063

Phone 910-805-8205

Mailing address

313 Walnut St Ste 107
Wilmington, NC 28401-4063

Phone 910-805-8205

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