Individual
BRUCE FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1026 SNOWBERRY DR, LONGS, SC 29568-8120
(631) 946-1249
Mailing address
1026 SNOWBERRY DR, LONGS, SC 29568-8120
(631) 946-1249
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1049
SC
Other
Enumeration date
10/11/2005
Last updated
12/31/2007
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