Provider Demographics
NPI:1427732734
Name:VISCHER, PETER JUSTIN (LMHC)
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:JUSTIN
Last Name:VISCHER
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6673 PARK GROVE BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITESTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:46075-6209
Mailing Address - Country:US
Mailing Address - Phone:317-296-5137
Mailing Address - Fax:
Practice Address - Street 1:14701 CUMBERLAND RD STE 170
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-8715
Practice Address - Country:US
Practice Address - Phone:317-537-7906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health