Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 3477 | NC |
N | 103T00000X | Psychologist | 3477 | NC |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 3477 | NC |
N | 103TA0700X | Adult Development & Aging Psychologist | 3477 | NC |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 3477 | NC |
Y | 103G00000X | Clinical Psychologist | 3477 | NC |
Y | 103TC0700X | Clinical Psychologist | 3477 | NC |
N | 103TC1900X | Counseling Psychologist | 3477 | NC |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 3477 | NC |
N | 103TE1100X | Exercise & Sports Psychologist | 3477 | NC |
N | 103TF0000X | Family Psychologist | 3477 | NC |
N | 103TF0200X | Forensic Psychologist | 3477 | NC |
N | 103TH0004X | Health Psychologist | 3477 | NC |
N | 103TH0100X | Health Service | 3477 | NC |
N | 103TM1800X | Intellectual & Developmental Disabilities | 3477 | NC |
N | 103TP2701X | Group Psychotherapist | 3477 | NC |
NPI | 1457502833 |
---|---|
Provider Name | Dr. Cynthia R Fisher |
First Address | Raleigh, NC 27615-3097 |
Second Address | Raleigh, NC 27615-3097 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2008 |
Last Update Date | 03/10/2008 |