Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 699 | OK |
NPI | 1083714810 |
---|---|
Provider Name | Dr. Pamela C. Fischer |
First Address | Oklahoma City, OK 73103-3501 |
Second Address | Oklahoma City, OK 73104-5007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
699 | PSYCHOLOGIST LICENSE NUMB (01) | OK |