National Provider Identifier

Stephanie Lynn Fisk

Stephanie Lynn Fisk is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Warsaw, NY and a listed phone number of (585) 786-0190.

NPI 1023529807Warsaw, NYMental Health Counselor

Profile Overview

NPI
1023529807
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
October 19, 2017
Last Updated
March 11, 2021

Practice Location

  • 39 Duncan St
  • Warsaw, NY 14569-1017

Phone: (585) 786-0190

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1023529807
Entity Type
Individual
Last Name
Fisk
First Name
Stephanie
Middle Name
Lynn
Mailing Street Address
39 Duncan St
Mailing City
Warsaw
Mailing State
NY
Mailing ZIP Code
14569-1017
Mailing Country
US
Mailing Phone
(585) 786-0190
Mailing Fax
(585) 786-0196
Practice Street Address
39 Duncan St
Practice City
Warsaw
Practice State
NY
Practice ZIP Code
14569-1017
Practice Country
US
Practice Phone
(585) 786-0190
Practice Fax
(585) 786-0196
Enumeration Date
October 19, 2017
Last Updated
March 11, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
March 11, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)