Provider Demographics
NPI:1801311501
Name:FISHER, DEBORAH TORREY (MS, RD, LD, CHC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:TORREY
Last Name:FISHER
Suffix:
Gender:F
Credentials:MS, RD, LD, CHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6448 E HIGHWAY 290 STE F108
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-1042
Mailing Address - Country:US
Mailing Address - Phone:512-318-2509
Mailing Address - Fax:512-410-0387
Practice Address - Street 1:6448 E HIGHWAY 290 STE F108
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-1042
Practice Address - Country:US
Practice Address - Phone:512-318-2509
Practice Address - Fax:512-410-0387
Is Sole Proprietor?:No
Enumeration Date:2017-08-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT84324133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered