Jill Leslie Fischberg in Bradenton - Professional
Jill Leslie Fischberg - NPI 1104882679
Jill Leslie Fischberg is a Professional in Bradenton, Florida. Jill Leslie Fischberg practices all healthcare services and medical treatments related to Professional. The NPI Number for Jill Leslie Fischberg is 1104882679. The last update date is 2015-08-04.
Jill Leslie Fischberg's current location address is 6170 53rd Ave E, Bradenton, Florida. You can contact this provider via phone number 9414684567 and fax number 9416216226. The mailing address for Jill Leslie Fischberg is 6170 53rd Ave E, Bradenton, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Leslie Fischberg |
|---|---|
| Address | 6170 53rd Ave E, Bradenton, Florida |
| Phone Number | 9414684567 |
| Fax Number | 9416216226 |
| Sole Proprietor | Y |
| Credentials | LMHC |
NPI Number Detail
| NPI Number | 1104882679 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2015-08-04 |
Provider Mailing Address Detail
| Address | 6170 53rd Ave E |
|---|---|
| City | Bradenton |
| State | Florida (FL) |
| Post Code | 342039721 |
| Phone Number | 9414684567 |
| Fax Number | 9416216226 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | MH 10788 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3784400 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jill Leslie Fischberg by the Centers for Medicare & Medicaid Services?
The Jill Leslie Fischberg has been issued the NPI (National Provider Identifier) 1104882679. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jill Leslie Fischberg located?
The Jill Leslie Fischberg is located at 6170 53Rd Ave E, Bradenton, FL 342039721.
What is Jill Leslie Fischberg's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jill Leslie Fischberg is Professional, and the taxonomy classification code that categorizes this area of expertise is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104882679 to Jill Leslie Fischberg?
The Jill Leslie Fischberg received its 1104882679 assignment from the Centers for Medicare & Medicaid Services on 2006-04-25.
When was the information related to Jill Leslie Fischberg most recently updated or refreshed?
The details pertaining to the Jill Leslie Fischberg, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-08-04.