Dr. James Wayne Fisher, Ph.D., LP
Psychologist in Edina, MN. Individual provider (NPI-1).
NPI number1164029336
StatusActive
Last updated in NPPESMay 28, 2024
Details
- NPI
- 1164029336
- Entity type
- Individual (NPI-1)
- Name
- Dr. James Wayne Fisher
- Credential
- Ph.D., LP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2020
- Certification date
- May 28, 2024
- Last updated
- May 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | LP6631 | MN | Yes |
Practice location
7400 Metro Blvd Ste 390Edina, MN 55439-2358
Phone 612-468-1620 · Fax 953-955-6213
Mailing address
7400 Metro Blvd Ste 390Edina, MN 55439-2358
Phone 612-468-1620 · Fax 953-955-6213
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