MEDICARE: EMMA FISHER

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
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1164171328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA FISHER

Provider Business Mailing Address
First Line	:	9250 COLUMBIA AVE
Second Line	:
City	:	MUNSTER
State	:	IN
Zip	:	46321-3538
Country	:	US
Telephone Number	:	219-595-0043
Fax Number	:

Provider Business Practice Location Address
First Line	:	9250 COLUMBIA AVE
Second Line	:
City	:	MUNSTER
State	:	IN
Zip	:	46321-3538
Country	:	US
Telephone Number	:	219-595-0043
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2022
Last Update Date	:	12/26/2025

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Directions to “ EMMA FISHER ” Practice Location

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