Individual
BARBARA JANE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.L.P.
Contact information
Practice address
3345 LEXINGTON AVE S, SUITE 102, EAGAN, MN 55121-2276
(651) 454-4628
(651) 454-9494
Mailing address
5047 GLADSTONE AVE, MINNEAPOLIS, MN 55419-1308
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP3608
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312P9FI
BCBS
MN
01
—
62-69553
MEDICA
MN
Enumeration date
10/04/2006
Last updated
07/08/2007
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