Doctor Name: | PHYLLIS M FISCHER |
NPI Number: | 1902169733 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | S.0002106 |
Business Practice Address: | 601 S Edwin C Moses Blvd 1st Floor, Nw Bldg Dayton, OH - 454173424 |
Business Phone Number: | 9374966952 |
Business Fax Number: | 9372768269 |
Mailing Address: | 601 S Edwin C Moses Blvd, 1st Floor, Nw Bldg DAYTON |
State: | OH |
Postal Code: | 454173424 |
Phone Number: | 9374966952 |
Fax Number: | 9372768269 |
NPI Enumeration Date: | 06/18/2012 |
NPI Last Update Date: | 06/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | S.0002106 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |