Individual
DR. REBECCA RUTH FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D, LP
Contact information
Practice address
19230 EVANS ST NW STE 109, ELK RIVER, MN 55330-1079
(952) 232-6054
(952) 232-6350
Mailing address
19230 EVANS ST NW STE 109, ELK RIVER, MN 55330-1079
(952) 232-6054
(952) 232-6350
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5462
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176622000
—
MN
01
—
680003277
MEDICARE PTAN
MN
01
—
H400140126
MEDICARE PTAN FOR HEALTHWISE
MN
Enumeration date
09/10/2009
Last updated
01/02/2023
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