Provider Demographics
NPI:1235433566
Name:STEVEN C FISCHER PHD PC
Entity Type:Organization
Organization Name:STEVEN C FISCHER PHD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:248-488-5800
Mailing Address - Street 1:30100 TELEGRAPH RD STE 336
Mailing Address - Street 2:
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-5808
Mailing Address - Country:US
Mailing Address - Phone:248-488-5800
Mailing Address - Fax:248-488-5800
Practice Address - Street 1:30100 TELEGRAPH RD STE 336
Practice Address - Street 2:
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-5808
Practice Address - Country:US
Practice Address - Phone:248-488-5800
Practice Address - Fax:248-488-4800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-29
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301005339103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0N10260Medicare PIN