Amanda Beth Fischer

Individual provider Active NPI Developmental Therapist · Boonville, IN

NPI 1003471640 · NPPES record last updated May 9, 2019

Key facts

NPI
1003471640
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
1955 E Degonia Rd
Boonville, IN 47601-9748
Phone
(812) 430-8884
NPI assigned
May 9, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

1955 E Degonia Rd
Boonville, IN 47601-9748

Mailing address

1955 E Degonia Rd
Boonville, IN 47601-9748
Phone (812) 430-8884

Electronic endpoints

TypeEndpointUseAffiliation
Other URL ayeramanda@hotmail.com

Other providers in Boonville, IN

All providers in Boonville, IN · Developmental Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.