Provider Demographics
NPI:1689291353
Name:FISCHER, CINDY DILLARD
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:DILLARD
Last Name:FISCHER
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 1:157 DITTMAR CREEK RD
Mailing Address - Street 2:
Mailing Address - City:HARPER
Mailing Address - State:TX
Mailing Address - Zip Code:78631-5236
Mailing Address - Country:US
Mailing Address - Phone:713-202-5364
Mailing Address - Fax:830-990-6163
Practice Address - Street 1:402 W WINDCREST ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:TX
Practice Address - Zip Code:78624-4465
Practice Address - Country:US
Practice Address - Phone:830-990-1776
Practice Address - Fax:830-990-6163
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13288235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist