Individual
NICOLE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14275 MIDWAY RD STE 260, ADDISON, TX 75001-3613
(714) 953-4455
Mailing address
705 E PENINSULA DR, COPPELL, TX 75019-6114
(214) 733-3533
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/13/2016
Last updated
07/27/2019
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