Provider Demographics
NPI:1952575300
Name:FITTERER, BETH R (PHD)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:R
Last Name:FITTERER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2527 E 27TH AVE
Mailing Address - Street 2:SUITE C205
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-4909
Mailing Address - Country:US
Mailing Address - Phone:509-535-0656
Mailing Address - Fax:509-535-0638
Practice Address - Street 1:2527 E 27TH AVE
Practice Address - Street 2:SUITE C205
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-4909
Practice Address - Country:US
Practice Address - Phone:509-535-0656
Practice Address - Fax:509-535-0638
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00003701103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent