Individual
SCOTT FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT SPECIAL
Contact information
Practice address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(800) 829-5461
Mailing address
505 E MAIN ST, CRIDERSVILLE, OH 45806-2409
(419) 296-6220
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
006190
OH
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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