Individual
LISA COLANGELO FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4232 E CACTUS RD, PHOENIX, AZ 85032-7615
(602) 494-8105
(602) 494-8108
Mailing address
4232 E CACTUS ROAD SUITE 207, PHOENIX, AZ 85032
(602) 494-8105
(602) 494-8108
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3609
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7339627
AETNA
AZ
01
—
AZ0618030
BCBS
AZ
Enumeration date
04/20/2006
Last updated
07/08/2007
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