Provider Demographics
NPI:1770303513
Name:FISHER, SYDNEY RENEE (MA NCC)
Entity type:Individual
Prefix:MRS
First Name:SYDNEY
Middle Name:RENEE
Last Name:FISHER
Suffix:
Gender:F
Credentials:MA NCC
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:RENEE
Other - Last Name:BURKHOLDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4416 DRIFTMAN DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2804
Mailing Address - Country:US
Mailing Address - Phone:412-708-2980
Mailing Address - Fax:
Practice Address - Street 1:4055 MONROEVILLE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2522
Practice Address - Country:US
Practice Address - Phone:412-414-9916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health