Individual
DR. RICHARD L FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
120 TILLSON AVE, SUITE 201, ROCKLAND, ME 04841-3451
(207) 596-0109
(207) 594-0901
Mailing address
120 TILLSON AVE STE 213, ROCKLAND, ME 04841-3448
(207) 596-0109
(207) 594-0901
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS611
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213450000
MAINECARE PROVIDER ID
ME
Enumeration date
03/15/2007
Last updated
01/26/2018
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