Provider Demographics
NPI:1962556571
Name:FISCHER, WILLIAM F (PHD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:F
Last Name:FISCHER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5 EDGELL RD
Mailing Address - Street 2:SUITE 31
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-4874
Mailing Address - Country:US
Mailing Address - Phone:508-875-4952
Mailing Address - Fax:508-620-6435
Practice Address - Street 1:5 EDGELL RD
Practice Address - Street 2:SUITE 31
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-4874
Practice Address - Country:US
Practice Address - Phone:508-875-4952
Practice Address - Fax:508-620-6435
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA3962103TC0700X, 103TC2200X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW03942OtherBLUE CROSS & BLUE SHIELD
MA717640OtherTUFTS HEALTH PLAN HMO
MA004500OtherHARVARD PILGRIM HEALTH CA
MA004500OtherHARVARD PILGRIM HEALTH CA