Provider Demographics
NPI:1508419813
Name:FISHER, LINDSEY KAY
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:KAY
Last Name:FISHER
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 1:302 S JOPLIN AVE
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64801-2334
Mailing Address - Country:US
Mailing Address - Phone:417-529-3308
Mailing Address - Fax:417-781-1234
Practice Address - Street 1:302 S JOPLIN AVE
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64801-2334
Practice Address - Country:US
Practice Address - Phone:417-529-3308
Practice Address - Fax:417-781-1234
Is Sole Proprietor?:No
Enumeration Date:2019-07-17
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker