Provider Demographics
NPI:1073553186
Name:FIORE, MICHAEL FRANCIS (PHD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:FRANCIS
Last Name:FIORE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:997 OLD US HWY 70 W
Mailing Address - Street 2:
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-2665
Mailing Address - Country:US
Mailing Address - Phone:828-669-8869
Mailing Address - Fax:828-669-8865
Practice Address - Street 1:997 OLD US HWY 70 W
Practice Address - Street 2:
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-2665
Practice Address - Country:US
Practice Address - Phone:828-669-8869
Practice Address - Fax:828-669-8865
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2540103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical