Doctor Name: | MRS. NANCY L FISHER |
NPI Number: | 1902248008 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 34006431A |
Business Practice Address: | 2426 E Pierceton Rd Winona Lake, IN - 465905713 |
Business Phone Number: | 5742697990 |
Business Fax Number: | |
Mailing Address: | 800 E Arthur St, H-2 WARSAW |
State: | IN |
Postal Code: | 465803062 |
Phone Number: | 2609019232 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2013 |
NPI Last Update Date: | 07/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 34006431A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |