MEDICARE: DR. BARBARA ANN FISHER PH.D.

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	103TC0700X	Clinical Psychologist	PSY16511	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962567313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA ANN FISHER PH.D.

Provider Business Mailing Address
First Line	:	2 VIA EMPANADA
Second Line	:
City	:	RANCHO SANTA MARGARITA
State	:	CA
Zip	:	92688-4921
Country	:	US
Telephone Number	:	949-766-9756
Fax Number	:	949-709-0568

Provider Business Practice Location Address
First Line	:	29883 SANTA MARGARITA PKWY STE 100
Second Line	:
City	:	RANCHO SANTA MARGARITA
State	:	CA
Zip	:	92688-3615
Country	:	US
Telephone Number	:	949-766-9756
Fax Number	:	949-709-0568

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

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	02/08/2026

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