Provider Demographics
NPI:1881683787
Name:FISHER, SANDRA LYNNE
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:LYNNE
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 1:6 PINKERTON ST
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-1502
Mailing Address - Country:US
Mailing Address - Phone:160-343-4987
Mailing Address - Fax:
Practice Address - Street 1:440 AMHERST ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-1228
Practice Address - Country:US
Practice Address - Phone:160-388-9614
Practice Address - Fax:603-598-7135
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health