Jeffrey L Fisher in Fort Wayne - Psychologist
Jeffrey L Fisher - NPI 1598759722
Jeffrey L Fisher is a Psychologist in Fort Wayne, Indiana. Jeffrey L Fisher practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jeffrey L Fisher is 1598759722. The last update date is 2013-03-25.
Jeffrey L Fisher's current location address is 2121 Lake Ave, Fort Wayne, Indiana. You can contact this provider via phone number 2604265431 and fax number 2604601482. The mailing address for Jeffrey L Fisher is 2121 Lake Ave, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey L Fisher |
|---|---|
| Address | 2121 Lake Ave, Fort Wayne, Indiana |
| Phone Number | 2604265431 |
| Fax Number | 2604601482 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1598759722 |
|---|---|
| Provider Enumeration Date | 2005-09-02 |
| Last Updated Date | 2013-03-25 |
Provider Mailing Address Detail
| Address | 2121 Lake Ave |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 568055100 |
| Phone Number | 2604265431 |
| Fax Number | 2604601482 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 20041565S |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200319750 | IN | -- |
Post Comment/ Review Below
What is the Jeffrey L Fisher's unique identification number?
The Jeffrey L Fisher has been assigned the NPI (National Provider Identifier) Number 1598759722 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Jeffrey L Fisher's facilities are geographically located?
The facilities of Jeffrey L Fisher are physically situated at the following location: 2121 Lake Ave, Fort Wayne, IN, 568055100.
What is Jeffrey L Fisher's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey L Fisher's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1598759722 to Jeffrey L Fisher?
The Jeffrey L Fisher received its 1598759722 assignment from the Centers for Medicare & Medicaid Services on 2005-09-02.
As of what date were the details related to Jeffrey L Fisher most recently updated or revised?
The information pertaining to Jeffrey L Fisher, including its address, specialty, and other relevant details, was last updated or revised on 2013-03-25.