Provider Demographics
NPI:1932281482
Name:FISCHER, MAUREEN MS (MSCCC/A)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:MS
Last Name:FISCHER
Suffix:
Gender:F
Credentials:MSCCC/A
Other - Prefix:MS
Other - First Name:MAUREEN
Other - Middle Name:M
Other - Last Name:STEPHENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSCCC/A
Mailing Address - Street 1:800 PROVIDENCE AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-2039
Mailing Address - Country:US
Mailing Address - Phone:314-968-1237
Mailing Address - Fax:
Practice Address - Street 1:9835 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-1243
Practice Address - Country:US
Practice Address - Phone:314-968-4710
Practice Address - Fax:314-968-4762
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001020298231H00000X
MO2000174006237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist