Provider Demographics
NPI:1275069098
Name:FITZPATRICK, SKYLER SHARP (MA)
Entity Type:Individual
Prefix:MS
First Name:SKYLER
Middle Name:SHARP
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC ST BOX 356560
Mailing Address - Street 2:UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE PSYCHOLOGY
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-6560
Mailing Address - Country:US
Mailing Address - Phone:206-543-7576
Mailing Address - Fax:206-685-8952
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:BOX 356560 UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-6560
Practice Address - Country:US
Practice Address - Phone:206-543-7576
Practice Address - Fax:206-685-8952
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program