Doctor Name: | DAWN FISHER |
NPI Number: | 1285937805 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | TEI000056 |
Business Practice Address: | 718 S State St Clarks Summit, PA - 184111749 |
Business Phone Number: | 5705862222 |
Business Fax Number: | 5705851321 |
Mailing Address: | 718 S State St, CLARKS SUMMIT |
State: | PA |
Postal Code: | 184111749 |
Phone Number: | 5705862222 |
Fax Number: | 5705851321 |
NPI Enumeration Date: | 12/21/2010 |
NPI Last Update Date: | 12/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | TEI000056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |