Doctor Name: | DR. DENNIS F. FISHER |
NPI Number: | 1346235231 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D |
License Number: | 953 |
Business Practice Address: | 2832c Churchville Rd Churchville, MD - 210281620 |
Business Phone Number: | 4108367222 |
Business Fax Number: | 4108362793 |
Mailing Address: | 2832c Churchville Rd, CHURCHVILLE |
State: | MD |
Postal Code: | 210281620 |
Phone Number: | 4108367222 |
Fax Number: | 4108362793 |
NPI Enumeration Date: | 09/16/2005 |
NPI Last Update Date: | 11/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/23/2006 |
NPI Reactivation Date: | 03/28/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 953 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |