| Janelle K Fisher | |
|
4931 Arnold Ave Ste 10 Mcclellan CA 95652-2528 | |
| (916) 265-4008 | |
| Not Available |
| Full Name | Janelle K Fisher |
|---|---|
| Speciality | Psychologist |
| Location | 4931 Arnold Ave Ste 10, Mcclellan, California |
| Authorized Official Name and Position | Janelle Kianna Fisher (OWNER/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9162654008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Janelle K Fisher 4931 Arnold Ave Ste 10 Mcclellan CA 95652-2528 Ph: () - | Janelle K Fisher 4931 Arnold Ave Ste 10 Mcclellan CA 95652-2528 Ph: (916) 265-4008 |
| NPI Number | 1467037150 |
|---|---|
| Provider Enumeration Date | 03/14/2021 |
| Last Update Date | 03/02/2022 |
| Certification Date | 03/02/2022 |
| Medicare PECOS PAC ID | 9537553144 |
|---|---|
| Medicare Enrollment ID | O20220224002303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467037150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Janelle Kianna Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851418545 PECOS PAC ID: 9537416813 Enrollment ID: I20180717004181 |
Emilce Integrative Care, A Psychological Corporation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4931 Arnold Ave Ste 10, Mcclellan, CA 95652 Phone: 916-265-4008 | |
Julie Kirkes Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5342 Dudley Blvd., Mccl/116, Mcclellan, CA 95652 Phone: 916-561-7627 |