Michael Fish Phd Pa in Sunrise - Psychologist

Michael Fish Phd Pa - NPI 1376723478

Michael Fish Phd Pa is a Psychologist in Sunrise, Florida. Michael Fish Phd Pa practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Michael Fish Phd Pa is 1376723478. The last update date is 2017-10-09.

Michael Fish Phd Pa's current location address is 1304 Sw 160th Ave, Sunrise, Florida. You can contact this provider via phone number 9543707692 and fax number 9543702383. The mailing address for Michael Fish Phd Pa is 1304 Sw 160th Ave, Sunrise, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Michael Fish Phd Pa
Address 1304 Sw 160th Ave, Sunrise, Florida
Phone Number 9543707692
Fax Number 9543702383
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Fish Michael
Credentials PH.D.
Telephone Number 9543707692

NPI Number Detail

NPI Number 1376723478
Provider Enumeration Date 2007-11-06
Last Updated Date 2017-10-09

Provider Mailing Address Detail

Address 1304 Sw 160th Ave
City Sunrise
State Florida (FL)
Post Code 333261902
Phone Number 9543707692
Fax Number 9543702383

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PY3726
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
73683 FL BLUE CROSS/BLUE SHIELD
56610 FL VALUE OPTIONS/TRICARE

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FAQs about Michael Fish Phd Pa

What is the unique 10-digit identifier code assigned to Michael Fish Phd Pa by the Centers for Medicare & Medicaid Services?

The Michael Fish Phd Pa has been issued the NPI (National Provider Identifier) 1376723478 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Michael Fish Phd Pa is geographically located?

The Michael Fish Phd Pa is physically situated at the following location: 1304 Sw 160Th Ave, Sunrise, FL, 333261902.

What is Michael Fish Phd Pa's area of expertise and its corresponding taxonomy classification?

The Michael Fish Phd Pa's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1376723478 to Michael Fish Phd Pa?

The Centers for Medicare & Medicaid Services originally issued the 1376723478 to Michael Fish Phd Pa on 2007-11-06.

When was the Michael Fish Phd Pa's information last updated?

The Michael Fish Phd Pa's information was last updated on 2017-10-09.

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