MEDICARE: DOSHIA P FIFER

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	1041C0700X	Clinical Social Worker	34008378A	IN

General Provider Information

NPI Number	:	1376906883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOSHIA P FIFER

Provider Business Mailing Address
First Line	:	3266 N MERIDIAN ST STE 801
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-5834
Country	:	US
Telephone Number	:	317-986-7106
Fax Number	:

Provider Business Practice Location Address
First Line	:	3266 N MERIDIAN ST STE 801
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-5834
Country	:	US
Telephone Number	:	317-986-7106
Fax Number	:

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

Provider Enumeration Date	:	04/01/2016
Last Update Date	:	08/04/2023

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Directions to “ DOSHIA P FIFER ” Practice Location

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