Individual
KATIE MORGAN HANNAH-FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
837 ALDER CREEK DR, MEDFORD, OR 97504-8900
(541) 608-3878
(541) 608-3880
Mailing address
837 ALDER CREEK DR, MEDFORD, OR 97504-8900
(541) 608-3878
(541) 608-3880
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3335
OR
103TC0700X
Clinical Psychologist
3335
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2016
Last updated
09/09/2021
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