Healthcare Provider Details

I. General information

NPI: 1871780056
Provider Name (Legal Business Name): JANE FISHER PHD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2007
Last Update Date: 05/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 E BROADWAY
HELENA MT
59601-4237
US

IV. Provider business mailing address

304 E BROADWAY
HELENA MT
59601-4237
US

V. Phone/Fax

Practice location:
  • Phone: 406-449-3210
  • Fax:
Mailing address:
  • Phone: 406-449-3210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateMT

VIII. Authorized Official

Name: DR. JANE FISHER
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PHD
Phone: 406-449-3210