Provider Demographics
NPI:1871939306
Name:FITCH, JENELLE CHRISTINE (PHD)
Entity type:Individual
Prefix:DR
First Name:JENELLE
Middle Name:CHRISTINE
Last Name:FITCH
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 1:103 PLAZA DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-7729
Mailing Address - Country:US
Mailing Address - Phone:740-695-9321
Mailing Address - Fax:
Practice Address - Street 1:103 PLAZA DR
Practice Address - Street 2:SUITE A
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-7729
Practice Address - Country:US
Practice Address - Phone:740-695-9321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling