Individual
TERESA BLEVINS FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12 WALK HILL ST, JAMAICA PLAIN, MA 02130-4115
(508) 202-1047
Mailing address
12 WALK HILL ST, JAMAICA PLAIN, MA 02130-4115
(508) 202-1047
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
9516
MA
103TP2701X
Group Psychotherapy Psychologist
9516
MA
Other
Enumeration date
05/11/2012
Last updated
07/02/2021
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