Individual
JENA MARIE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
555 S 43RD ST, PHILADELPHIA, PA 19104-4408
(215) 685-7504
(215) 685-7551
Mailing address
500 S BROAD ST, SUITE 360, PHILADELPHIA, PA 19146-1613
(215) 685-6769
(215) 685-6732
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
P2918
TN
103TC0700X
Clinical Psychologist
Primary
PS017690
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/05/2008
Last updated
02/12/2015
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