Individual
MARY ALICE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
934 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5326
(434) 971-1841
(434) 971-6924
Mailing address
934 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5326
(434) 971-1841
(434) 971-6924
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810-001185
VA
Other
Enumeration date
11/29/2006
Last updated
12/14/2014
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