Healthcare Provider Details

I. General information

NPI: 1699398719
Provider Name (Legal Business Name): DEBORAH MARIE FISCHER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2020
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 QUEEN AVE S
MINNEAPOLIS MN
55405-1925
US

IV. Provider business mailing address

8014 OLSON MEMORIAL HWY # 141
GOLDEN VALLEY MN
55427-4712
US

V. Phone/Fax

Practice location:
  • Phone: 612-209-2161
  • Fax: 612-500-4459
Mailing address:
  • Phone: 612-324-1207
  • Fax: 612-500-4459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number3468
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: