Provider Demographics
NPI:1528416518
Name:FISCHER, LYNN SUSAN (MCJ, CFC)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:SUSAN
Last Name:FISCHER
Suffix:
Gender:F
Credentials:MCJ, CFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2057 S 97TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53227-1432
Mailing Address - Country:US
Mailing Address - Phone:414-870-6838
Mailing Address - Fax:
Practice Address - Street 1:740 N PLANKINTON AVE
Practice Address - Street 2:STE 334
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53203-2403
Practice Address - Country:US
Practice Address - Phone:414-271-5577
Practice Address - Fax:414-271-6667
Is Sole Proprietor?:No
Enumeration Date:2016-05-31
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor