Provider Demographics
NPI:1497147896
Name:FISCHER, DONNA (MS)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:
Last Name:FISCHER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1232 CAMELLIA BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6973
Mailing Address - Country:US
Mailing Address - Phone:337-235-5437
Mailing Address - Fax:337-443-0989
Practice Address - Street 1:1232 CAMELLIA BLVD STE B
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6973
Practice Address - Country:US
Practice Address - Phone:337-235-5437
Practice Address - Fax:337-443-0989
Is Sole Proprietor?:No
Enumeration Date:2015-02-23
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6250237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter