Healthcare Provider Details

I. General information

NPI: 1275607202
Provider Name (Legal Business Name): PATRICIA ANN FISHER PHD PSYCHOLOGY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1308 PENNSYLVANIA AVENUE SE
WASHINGTON DC
20003
US

IV. Provider business mailing address

1308 PENNSYLVANIA AVENUE SE
WASHINGTON DC
20003
US

V. Phone/Fax

Practice location:
  • Phone: 202-543-0013
  • Fax: 202-584-2699
Mailing address:
  • Phone: 202-543-0013
  • Fax: 202-584-2699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberDC886
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: