Individual
MS. UNDINE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
305 W WALL ST, SUITE A, HARRISONVILLE, MO 64701-2476
(816) 716-4237
Mailing address
305 W WALL ST, SUITE A, HARRISONVILLE, MO 64701-2476
(816) 716-4237
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY#01583
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23375017
BCBS
MO
Enumeration date
06/22/2006
Last updated
07/08/2007
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