Provider Demographics
NPI:1396813671
Name:FISCHER-HANCOCK, CINDY LOU (LMFT)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:LOU
Last Name:FISCHER-HANCOCK
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11840 KNOLLS PATH
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-9314
Mailing Address - Country:US
Mailing Address - Phone:952-200-4317
Mailing Address - Fax:
Practice Address - Street 1:14051 BURNHAVEN DR
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-4400
Practice Address - Country:US
Practice Address - Phone:952-200-4317
Practice Address - Fax:952-898-0058
Is Sole Proprietor?:No
Enumeration Date:2006-12-02
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1475106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist