Provider Demographics
NPI:1194138230
Name:FISCHER, MARK (MA)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:
Last Name:FISCHER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:627 LENOX RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:MA
Mailing Address - Zip Code:01254-5260
Mailing Address - Country:US
Mailing Address - Phone:413-728-2088
Mailing Address - Fax:413-728-2088
Practice Address - Street 1:627 LENOX RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:MA
Practice Address - Zip Code:01254-5260
Practice Address - Country:US
Practice Address - Phone:413-728-2088
Practice Address - Fax:413-728-2088
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist