Provider Demographics
NPI:1215039920
Name:FLEISCHER, PAUL ERIC (PSYD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ERIC
Last Name:FLEISCHER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 WOODVALE AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-3536
Mailing Address - Country:US
Mailing Address - Phone:828-285-9911
Mailing Address - Fax:828-285-9970
Practice Address - Street 1:417 BILTMORE AVE
Practice Address - Street 2:SUITE 4H
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4543
Practice Address - Country:US
Practice Address - Phone:828-285-9911
Practice Address - Fax:828-285-9970
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2661103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2819900BMedicare ID - Type UnspecifiedINDIVIDUAL PROVIDER #