Provider Demographics
NPI:1487731436
Name:FISHER, STEVEN MATTHEW (LPC)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:MATTHEW
Last Name:FISHER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:STEPHEN
Other - Middle Name:MATTHEW
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:7631 SHAFFER PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-3011
Mailing Address - Country:US
Mailing Address - Phone:720-307-2712
Mailing Address - Fax:720-340-1949
Practice Address - Street 1:7631 SHAFFER PKWY STE A
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127
Practice Address - Country:US
Practice Address - Phone:720-307-2712
Practice Address - Fax:720-340-1949
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3124101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional