Provider Demographics
NPI:1215247317
Name:FISHER, MARGARET KATHERINE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:KATHERINE
Last Name:FISHER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8426 E SWAN RD
Mailing Address - Street 2:
Mailing Address - City:AVILLA
Mailing Address - State:IN
Mailing Address - Zip Code:46710-9733
Mailing Address - Country:US
Mailing Address - Phone:260-318-2971
Mailing Address - Fax:
Practice Address - Street 1:603 N WAYNE ST
Practice Address - Street 2:
Practice Address - City:ANGOLA
Practice Address - State:IN
Practice Address - Zip Code:46703-1081
Practice Address - Country:US
Practice Address - Phone:260-668-8797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN3.5001715A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist