Provider Demographics
NPI:1225257611
Name:LAURA E FISHER PHD INC
Entity Type:Organization
Organization Name:LAURA E FISHER PHD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:EMILY
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:918-336-7090
Mailing Address - Street 1:415 S.E. DEWEY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74003-3550
Mailing Address - Country:US
Mailing Address - Phone:918-336-7090
Mailing Address - Fax:
Practice Address - Street 1:415 S.E. DEWEY
Practice Address - Street 2:SUITE 301
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74003-3550
Practice Address - Country:US
Practice Address - Phone:918-336-7090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK748103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty