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NPI Code Detail

MEDICARE: SUSAN DIANE FISCHER PSY.D.

MEDICARE: SUSAN DIANE FISCHER PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist25169TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487655593
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN DIANE FISCHER PSY.D.
Provider Business Mailing Address
First Line : 1800 TEAGUE DR
Second Line : SUITE 502
City : SHERMAN
State : TX
Zip : 75090-2640
Country : US
Telephone Number : 903-892-4466
Fax Number : 903-892-2634
Provider Business Practice Location Address
First Line : 1800 TEAGUE DR
Second Line : SUITE 502
City : SHERMAN
State : TX
Zip : 75090-2640
Country : US
Telephone Number : 903-892-4466
Fax Number : 903-892-2634
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 11/18/2010

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