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General NPI Number Information
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NPI Number | 1386162881
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Entity Type | Organization
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Legal Business Name | FREDERICK M. FISCHER PSYD LLC
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Dates
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Enumeration Date | 09/05/2017
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 16 N GORE AVE STE 209
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City | SAINT LOUIS
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State | MO
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Zip | 63119-2315
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Country | US
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Telephone | 314-962-3316
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Fax | 314-962-3316
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Provider Business Mailing Address
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Address Line | 212 GLEN RD
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City | SAINT LOUIS
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State | MO
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Zip | 63119-2403
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Country | US
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Telephone | 314-962-3316
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Fax | 314-962-3316
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. FREDERICK M. FISCHER
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Credential | PSY.D.
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Telephone | 314-962-3316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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