Provider Demographics
NPI:1891273561
Name:FISHER, BARBARA S (LPC)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:S
Last Name:FISHER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 STRATFORD GREEN
Mailing Address - Street 2:
Mailing Address - City:AUORDALE EST
Mailing Address - State:GA
Mailing Address - Zip Code:30002
Mailing Address - Country:US
Mailing Address - Phone:404-271-5350
Mailing Address - Fax:
Practice Address - Street 1:541 STRATFORD GREEN
Practice Address - Street 2:
Practice Address - City:AUORDALE EST
Practice Address - State:GA
Practice Address - Zip Code:30002
Practice Address - Country:US
Practice Address - Phone:404-271-5350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-03
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002275103TC1900X
2472E0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEG
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling