Healthcare Provider Details

I. General information

NPI: 1477609170
Provider Name (Legal Business Name): SUZANNE FISCHER M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 06/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4734 SAILORS RETREAT CT
OXFORD MD
21654-1745
US

IV. Provider business mailing address

4734 SAILORS RETREAT CT
OXFORD MD
21654-1745
US

V. Phone/Fax

Practice location:
  • Phone: 410-476-7818
  • Fax:
Mailing address:
  • Phone: 410-476-7818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: