Individual
DIANE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1830 SHERMAN AVE, SUITE 204, EVANSTON, IL 60201-3771
(847) 989-1745
(847) 920-9276
Mailing address
1830 SHERMAN AVE, SUITE 204, EVANSTON, IL 60201-3771
(847) 989-1745
(847) 920-9276
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.006707
IL
314000000X
Skilled Nursing Facility
071006707
IL
Other
Enumeration date
03/18/2008
Last updated
02/23/2009
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