National Provider Identifier

Jerid Fisher

Jerid Fisher is listed in the NPPES registry with a primary specialty of Clinical Neuropsychologist in Fairport, NY and a listed phone number of (585) 425-4220.

NPI 1902326762Fairport, NYClinical Neuropsychologist

Profile Overview

NPI
1902326762
Provider Type
Individual
Primary Specialty
Clinical Neuropsychologist
Enumeration Date
June 22, 2017
Last Updated
June 22, 2017

Practice Location

  • 6780 Pittsford Palmyra RD Bldg 2
  • Fairport, NY 14450-3360

Phone: (585) 425-4220

Specialties

  • Clinical Neuropsychologist (103G00000X)
Full Record
NPI
1902326762
Entity Type
Individual
Last Name
Fisher
First Name
Jerid
Name Prefix
Dr.
Mailing Street Address
6780 Pittsford Palmyra RD Bldg 2
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-3360
Mailing Country
US
Practice Street Address
6780 Pittsford Palmyra RD Bldg 2
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-3360
Practice Country
US
Practice Phone
(585) 425-4220
Enumeration Date
June 22, 2017
Last Updated
June 22, 2017
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Neuropsychologist (103G00000X)