Provider Demographics
NPI:1982067708
Name:FISHER, WILLIAM JR (MA)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:FISHER
Suffix:JR
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:939 E MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:MANHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:17545-9376
Mailing Address - Country:US
Mailing Address - Phone:724-624-3008
Mailing Address - Fax:
Practice Address - Street 1:939 E MEADOW RD
Practice Address - Street 2:
Practice Address - City:MANHEIM
Practice Address - State:PA
Practice Address - Zip Code:17545-9376
Practice Address - Country:US
Practice Address - Phone:724-624-3008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor