| Dr Jarod John Fitzgerald, PHD | |
|
1203 Idaho St, Lewiston, ID 83501-1940 | |
| (208) 848-8300 | |
| Not Available |
| Full Name | Dr Jarod John Fitzgerald |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 1203 Idaho St, Lewiston, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477690576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY3410 (Washington) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY-202347 (Idaho) | Primary |
| Entity Name | Community Health Association Of Spokane |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235372707 PECOS PAC ID: 9638063217 Enrollment ID: O20090723000312 |
| Entity Name | Catalyst Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912458787 PECOS PAC ID: 2365722105 Enrollment ID: O20161213001188 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jarod John Fitzgerald, PHD 611 N Iron Bridge Way, Spokane, WA 99202-4932 Ph: (509) 444-8888 | Dr Jarod John Fitzgerald, PHD 1203 Idaho St, Lewiston, ID 83501-1940 Ph: (208) 848-8300 |
Dr. Kristy Anne Kuehfuss, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1418 Grelle Ave, Lewiston, ID 83501 Phone: 208-631-5843 | |
Dr. Kevin Richard Kracke, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 422 17th St, Lewiston, ID 83501 Phone: 208-743-4680 Fax: 208-743-1756 | |
Rebecca J Alexander, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 532 Bryden Ave, Lewiston, ID 83501 Phone: 208-798-5168 Fax: 208-798-5169 | |
Dr. Leanne Parker, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1720 18th Ave, Lewiston, ID 83501 Phone: 208-746-4097 | |
Dr. Richard Ballou Gallaher Jr., PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 513 Thain Road, Lewiston, ID 83501 Phone: 208-743-0150 Fax: 208-743-5358 | |
Philip N Mackinnon, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5554 |