Individual
JUDITH FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 559-5896
(269) 465-4001
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301011581
MI
103TC0700X
Clinical Psychologist
Primary
6301011581
MI
Other
Enumeration date
03/18/2008
Last updated
11/06/2024
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