Basic Information
| Provider Information | |||||||||
| NPI: | 1225257611 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LAURA E FISHER PHD INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 415 S.E. DEWEY | ||||||||
| Address2: | SUITE 301 | ||||||||
| City: | BARTLESVILLE | ||||||||
| State: | OK | ||||||||
| PostalCode: | 740033550 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9183367090 | ||||||||
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| Address1: | 415 S.E. DEWEY | ||||||||
| Address2: | SUITE 301 | ||||||||
| City: | BARTLESVILLE | ||||||||
| State: | OK | ||||||||
| PostalCode: | 740033550 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9183367090 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/24/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | FISHER | ||||||||
| AuthorizedOfficialFirstName: | LAURA | ||||||||
| AuthorizedOfficialMiddleName: | EMILY | ||||||||
| AuthorizedOfficialTitleorPosition: | LICENSED PSYCHOLOGIST | ||||||||
| AuthorizedOfficialTelephone: | 9183367090 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PHD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | 748 | OK | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.