Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PSY-642 | HI |
N | 103T00000X | Psychologist | PSY-642 | HI |
N | 103G00000X | Clinical Psychologist | PSY-642 | HI |
N | 103TC0700X | Clinical Psychologist | PSY-642 | HI |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY-642 | HI |
NPI | 1114075520 |
---|---|
Provider Name | Dr. Janet Robinson Fitzgerald |
First Address | Honolulu, HI 96819-2831 |
Second Address | Honolulu, HI 96819-2831 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
252536 | HMSA PROVIDER NUMBER (01) | HI |