Provider Demographics
NPI:1235350315
Name:FISCHER, HENRY L (PHD)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:L
Last Name:FISCHER
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 1:360 S. MONROE ST.
Mailing Address - Street 2:STE. 240
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-3708
Mailing Address - Country:US
Mailing Address - Phone:303-322-5505
Mailing Address - Fax:303-321-8095
Practice Address - Street 1:360 S MONROE ST
Practice Address - Street 2:STE. 240
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-3705
Practice Address - Country:US
Practice Address - Phone:303-322-5505
Practice Address - Fax:303-321-8095
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO217103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical