Healthcare Provider Details

I. General information

NPI: 1992800684
Provider Name (Legal Business Name): ANN DREHER FISHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 SCHOOL STREET SUITE #9
BRISTOL VT
05443
US

IV. Provider business mailing address

364 COBB HILL RD
LINCOLN VT
05443
US

V. Phone/Fax

Practice location:
  • Phone: 802-453-5400
  • Fax:
Mailing address:
  • Phone: 802-453-5517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number000072
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number0470000643
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: