Provider Demographics
NPI:1376906883
Name:FIFER, DOSHIA P
Entity Type:Individual
Prefix:
First Name:DOSHIA
Middle Name:P
Last Name:FIFER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3266 N MERIDIAN ST STE 801
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46208-5834
Mailing Address - Country:US
Mailing Address - Phone:317-986-7106
Mailing Address - Fax:
Practice Address - Street 1:3266 N MERIDIAN ST STE 801
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46208-5834
Practice Address - Country:US
Practice Address - Phone:317-986-7106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-01
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34008378A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical