Provider Demographics
NPI:1477707024
Name:FRITSCH, FERNANDA (MS)
Entity type:Individual
Prefix:
First Name:FERNANDA
Middle Name:
Last Name:FRITSCH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:NANDA
Other - Middle Name:
Other - Last Name:FRITSCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1276 BALD HILL RD UNIT 15
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4248
Mailing Address - Country:US
Mailing Address - Phone:401-398-2636
Mailing Address - Fax:
Practice Address - Street 1:1276 BALD HILL RD UNIT 15
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4248
Practice Address - Country:US
Practice Address - Phone:401-398-2636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-10
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health