Provider Demographics
NPI:1427542679
Name:FISHER & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:FISHER & ASSOCIATES, LLC
Other - Org Name:FISHER & ASSOCIATES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BIRGIT
Authorized Official - Middle Name:M
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:719-568-1232
Mailing Address - Street 1:113 W 12TH ST
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81003-2808
Mailing Address - Country:US
Mailing Address - Phone:719-568-1232
Mailing Address - Fax:719-676-2678
Practice Address - Street 1:113 W 12TH ST
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003-2808
Practice Address - Country:US
Practice Address - Phone:719-568-1232
Practice Address - Fax:719-676-2678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-20
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY0002759103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty