Doctor Name: | PATRICIA M FISHBURNE |
NPI Number: | 1790905404 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 0093 |
Business Practice Address: | 215 Main St Highland Falls, NY - 109281711 |
Business Phone Number: | 8454460057 |
Business Fax Number: | 8454460057 |
Mailing Address: | 28 Regina Rd, HIGHLAND FALLS |
State: | NY |
Postal Code: | 109282102 |
Phone Number: | 8454464055 |
Fax Number: | 8454460057 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0093 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |