Individual
SUSAN ELIZABETH FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
405 W BOXELDER RD, SUITE A-1, GILLETTE, WY 82718-5320
(307) 686-7779
(307) 686-9494
Mailing address
405 W BOXELDER RD, SUITE A-1, GILLETTE, WY 82718-5320
(307) 686-7779
(307) 686-9494
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
486
WY
103TC0700X
Clinical Psychologist
PS016601
PA
Other
Enumeration date
03/11/2009
Last updated
05/20/2010
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