Individual
DR. MARK LOUIS FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
537 RITCHIE HWY STE 1C, SEVERNA PARK, MD 21146-2930
(410) 315-7715
(410) 315-7541
Mailing address
764 DIVIDING RD, SEVERNA PARK, MD 21146-4324
(410) 544-7352
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2572
MD
Other
Enumeration date
10/29/2006
Last updated
07/08/2007
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