| Doctor Name: | DAVID DOUGLAS FISHER |
| NPI Number: | 1093921967 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LP |
| License Number: | LP3535 |
| Business Practice Address: | 514 Beltrami Ave Nw Bemidji, MN - 566013010 |
| Business Phone Number: | 2184442845 |
| Business Fax Number: | 2184442847 |
| Mailing Address: | 514 Beltrami Ave Nw, BEMIDJI |
| State: | MN |
| Postal Code: | 566013010 |
| Phone Number: | 2184442845 |
| Fax Number: | 2184442847 |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | LP3535 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |