Provider Demographics
NPI:1114024833
Name:FISCHLER, ANITA BETH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:BETH
Last Name:FISCHLER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1881 N UNIVERSITY DR STE 202
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6095
Mailing Address - Country:US
Mailing Address - Phone:954-345-0252
Mailing Address - Fax:954-345-0253
Practice Address - Street 1:1881 N UNIVERSITY DR STE 202
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6095
Practice Address - Country:US
Practice Address - Phone:954-345-0252
Practice Address - Fax:954-345-0253
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0004846103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL59347Medicare ID - Type Unspecified