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Individual

JENNIFER L FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3001
(352) 273-6045
(352) 273-6156
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
5039
WI
103T00000X
Psychologist
Primary
PY9552
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018708400
FL
Enumeration date
02/02/2006
Last updated
06/07/2023
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