Provider Demographics
NPI:1407254741
Name:FISHER, RACHEL MONIQUE (MHS)
Entity Type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:MONIQUE
Last Name:FISHER
Suffix:
Gender:F
Credentials:MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 E STREET RD
Mailing Address - Street 2:H3-11
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-3481
Mailing Address - Country:US
Mailing Address - Phone:215-558-0095
Mailing Address - Fax:
Practice Address - Street 1:120 E STREET RD
Practice Address - Street 2:H3-11
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-3481
Practice Address - Country:US
Practice Address - Phone:215-558-0095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-19
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health