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NPI Code Detail

MEDICARE: MRS. CASSIDY FISCHER PALMISANO LPC

MEDICARE:  MRS. CASSIDY FISCHER PALMISANO  LPC
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
1101YM0800XMental Health Counselor
2101YP2500XProfessional Counselor7045LA

General Provider Information

NPI Number : 1356893143
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CASSIDY FISCHER PALMISANO LPC
Provider Business Mailing Address
First Line : 1505 N FLORIDA ST
Second Line :
City : COVINGTON
State : LA
Zip : 70433-1544
Country : US
Telephone Number : 859-900-1626
Fax Number : 504-885-0400
Provider Business Practice Location Address
First Line : 1505 N FLORIDA ST
Second Line :
City : COVINGTON
State : LA
Zip : 70433-1544
Country : US
Telephone Number : 859-900-1626
Fax Number : 504-885-0400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2016
Last Update Date : 01/19/2020

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Directions to “ MRS. CASSIDY FISCHER PALMISANO LPC” Practice Location

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