Doctor Name: | MS. BRENDA JILL FISCHEL |
NPI Number: | 1881618254 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.P.C. |
License Number: | LC3423 |
Business Practice Address: | 23704 Ocean Gtwy Mardela Springs, MD - 218372101 |
Business Phone Number: | 4106770202 |
Business Fax Number: | 4106770303 |
Mailing Address: | 204 Oyster Catcher Ct, CAMBRIDGE |
State: | MD |
Postal Code: | 216133652 |
Phone Number: | 4432057254 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 03/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC3423 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |