Provider Demographics
NPI:1407250863
Name:FITZGERALD, KARA M (PHD)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:M
Last Name:FITZGERALD
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:1368 BEACON ST STE 116
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-2800
Mailing Address - Country:US
Mailing Address - Phone:617-959-1010
Mailing Address - Fax:978-447-1608
Practice Address - Street 1:1368 BEACON ST STE 116
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-2800
Practice Address - Country:US
Practice Address - Phone:617-959-1010
Practice Address - Fax:978-447-1608
Is Sole Proprietor?:No
Enumeration Date:2014-10-14
Last Update Date:2023-02-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA10041103G00000X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist