Provider Demographics
NPI:1447910559
Name:FISCHER, PAMELA A (LADC)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:A
Last Name:FISCHER
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:A
Other - Last Name:FISCHER OLESON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LADC
Mailing Address - Street 1:210 9TH ST SE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904
Mailing Address - Country:US
Mailing Address - Phone:507-288-3443
Mailing Address - Fax:507-361-2404
Practice Address - Street 1:210 9TH ST SE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904
Practice Address - Country:US
Practice Address - Phone:507-288-3443
Practice Address - Fax:507-361-2404
Is Sole Proprietor?:No
Enumeration Date:2021-12-30
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN306261101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)