Frederick M Fischer P C | |
16 N Gore Ave Ste 209 Saint Louis MO 63119-2315 | |
(314) 962-3316 | |
(314) 962-3316 |
Full Name | Frederick M Fischer P C |
---|---|
Speciality | Psychologist |
Location | 16 N Gore Ave Ste 209, Saint Louis, Missouri |
Authorized Official Name and Position | Frederick M. Fischer (PSYCHOLOGIST) |
Authorized Official Contact | 3149623316 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Frederick M Fischer P C 212 Glen Rd Saint Louis MO 63119-2403 Ph: (314) 962-3316 | Frederick M Fischer P C 16 N Gore Ave Ste 209 Saint Louis MO 63119-2315 Ph: (314) 962-3316 |
NPI Number | 1386162881 |
---|---|
Provider Enumeration Date | 09/05/2017 |
Last Update Date | 01/08/2020 |
Certification Date | 01/08/2020 |
Medicare PECOS PAC ID | 6800152810 |
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Medicare Enrollment ID | O20171108000433 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386162881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Frederick M Fischer |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1710188214 PECOS PAC ID: 1355607151 Enrollment ID: I20171110002297 |
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