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NPI Code Detail

MEDICARE: DR. STEPHEN COBB FISHER PHD

MEDICARE: DR. STEPHEN COBB FISHER PHD
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
1103T00000XPsychologist3368MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11670186OTHERPRIVATE HEALTH SYSTEMS
2730960OTHERTUFTS HMO
35333043OTHERHEALTHCARE VALUE MANAGEME
41164138OTHERFIRST HEALTH
55656232OTHERAETNA
6211025OTHERMAGELLAN BEHAVIORAL HEALT
7W03424OTHERBLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1336131663
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN COBB FISHER PHD
Provider Business Mailing Address
First Line : 87 STONY BROOK RD
Second Line :
City : WESTFORD
State : MA
Zip : 01886-1905
Country : US
Telephone Number : 978-846-1572
Fax Number : 978-654-6650
Provider Business Practice Location Address
First Line : 87 STONY BROOK RD
Second Line :
City : WESTFORD
State : MA
Zip : 01886-1905
Country : US
Telephone Number : 978-846-1572
Fax Number : 978-654-6650
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 03/09/2021

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