Individual
DR. SCOTT FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
940 BELMONT ST, MENTAL HEALTH SERVICE, BLDG. #2, WARD 22B, BROCKTON, MA 02301-5596
(774) 826-3189
Mailing address
940 BELMONT ST, MENTAL HEALTH SERVICE, BLDG. #2, WARD 22B, BROCKTON, MA 02301-5596
(774) 826-3189
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
24803
CA
103TC0700X
Clinical Psychologist
24803
CA
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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