Provider Demographics
NPI:1689126120
Name:ASSESSMENT CONSULTANTS, LLC
Entity Type:Organization
Organization Name:ASSESSMENT CONSULTANTS, LLC
Other - Org Name:AMY M. FISCH, PHD
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MUNTZ
Authorized Official - Last Name:FISCH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:417-414-9641
Mailing Address - Street 1:2230 E MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-4535
Mailing Address - Country:US
Mailing Address - Phone:417-414-9641
Mailing Address - Fax:417-942-2500
Practice Address - Street 1:2146 W CHESTERFIELD BLVD STE E202
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-8650
Practice Address - Country:US
Practice Address - Phone:417-414-9641
Practice Address - Fax:417-942-2500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-01
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010019908103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1194879593Medicaid