Male or Other

Dr. Mark L. Fisher PH.D.

Clinical Psychologist in Severna Park, MD(View on Map)

Full Name

Dr. Mark Louis Fisher PH.D.

NPI Number

1659457950

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/29/2006

Specialties

(Taxonomies)

Code

103TC0700X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

2572

Contact
Information

Purpose

Mailing
Location

Address

764 DIVIDING RD
537 RITCHIE HWY STE 1C

City

Severna Park
Severna Park

State

MD
MD

Postal Code

21146-4324
21146-2930

Country

US
US

Telephone Number

(410) 544-7352
(410) 315-7715

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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