Individual
MRS. JENNIFER LYNN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,LLP
Contact information
Practice address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 372-6841
Mailing address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 372-6841
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301010332
MI
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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