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NPI Code Detail

MEDICARE: SARAH FISHER TLMFT

MEDICARE: SARAH FISHER TLMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist1870TN

General Provider Information

NPI Number : 1053084616
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH FISHER TLMFT
Provider Business Mailing Address
First Line : 3712B FERNDALE AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-3024
Country : US
Telephone Number : 615-416-1170
Fax Number :
Provider Business Practice Location Address
First Line : 1305 16TH AVE S
Second Line :
City : NASHVILLE
State : TN
Zip : 37212-2923
Country : US
Telephone Number : 615-257-9374
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2021
Last Update Date : 07/29/2021

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