Fischer, Jennifer Jill

Fischer, Jennifer Jill is an individual health care provider with primary practice located at 20 W Park St Ste 213, Lebanon NH 03766. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Fischer, Jennifer Jill can be contacted via phone (603) 448-5318.

Contact Information

Primary practice address
20 W Park St Ste 213 Lebanon NH 03766
Phone: (603) 448-5318
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1118 New Hampshire
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1118 New Hampshire

Profile Details

NPI number 1174588800
LBN Legal business name Fischer, Jennifer Jill
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174588800 NPPES
Vermont MEDICAID 0RE7477
Vermont MEDICAID 30422348

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