Healthcare Provider Details

I. General information

NPI: 1073553186
Provider Name (Legal Business Name): MICHAEL FRANCIS FIORE PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 12/20/2024
Certification Date: 12/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

997 OLD US HWY 70 W STE C
BLACK MOUNTAIN NC
28711-4501
US

IV. Provider business mailing address

997 OLD US HWY 70 W STE C
BLACK MOUNTAIN NC
28711-4501
US

V. Phone/Fax

Practice location:
  • Phone: 828-669-8869
  • Fax: 828-669-8865
Mailing address:
  • Phone: 828-669-8869
  • Fax: 828-669-8865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2540
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2540
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: