Provider Demographics
NPI:1346136710
Name:FITZSIMONS, CATHRIONA ANN
Entity type:Individual
Prefix:
First Name:CATHRIONA
Middle Name:ANN
Last Name:FITZSIMONS
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 WALDO PL
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2310
Mailing Address - Country:US
Mailing Address - Phone:201-674-9448
Mailing Address - Fax:
Practice Address - Street 1:99 KINDERKAMACK RD STE 306
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-3021
Practice Address - Country:US
Practice Address - Phone:908-787-8387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS01024700235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist