MEDICARE: FISCHER PSYCHOLOGICAL SERVICES, P.C.

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	103T00000X	Psychologist

General Provider Information

NPI Number	:	1760733828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FISCHER PSYCHOLOGICAL SERVICES, P.C.

Provider Business Mailing Address
First Line	:	111 LAKE AVE
Second Line	:	SUITE 4
City	:	TUCKAHOE
State	:	NY
Zip	:	10707-3935
Country	:	US
Telephone Number	:	914-793-7708
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 LAKE AVE
Second Line	:	SUITE 4
City	:	TUCKAHOE
State	:	NY
Zip	:	10707-3935
Country	:	US
Telephone Number	:	914-793-7708
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	DR. SUSAN H. FISCHER
Credential	:	PHD
Telephone Number	:	914-954-8601

Provider Enumeration Date	:	09/28/2012
Last Update Date	:	10/01/2025

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