Doctor Name: | DR. ELEANOR RUTH FISHER |
NPI Number: | 1073689931 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY D |
License Number: | P01069 |
Business Practice Address: | 16 Deer Cove St Lynn, MA - 019023120 |
Business Phone Number: | 7815951059 |
Business Fax Number: | 7818420580 |
Mailing Address: | 16 Deer Cove St, LYNN |
State: | MA |
Postal Code: | 019023120 |
Phone Number: | 7815951059 |
Fax Number: | 7818420580 |
NPI Enumeration Date: | 11/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | P01069 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |