Provider Demographics
NPI:1760733828
Name:FISCHER PSYCHOLOGICAL SERVICES, P.C.
Entity Type:Organization
Organization Name:FISCHER PSYCHOLOGICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:914-793-7708
Mailing Address - Street 1:111 LAKE AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:TUCKAHOE
Mailing Address - State:NY
Mailing Address - Zip Code:10707-3935
Mailing Address - Country:US
Mailing Address - Phone:914-793-7708
Mailing Address - Fax:
Practice Address - Street 1:111 LAKE AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:TUCKAHOE
Practice Address - State:NY
Practice Address - Zip Code:10707-3935
Practice Address - Country:US
Practice Address - Phone:914-793-7708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty