Provider Demographics
NPI:1528099249
Name:FISHER, BETSY LOUISE (LMFT)
Entity type:Individual
Prefix:
First Name:BETSY
Middle Name:LOUISE
Last Name:FISHER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:BETSY
Other - Middle Name:LOUISE
Other - Last Name:VEDDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:301 AUSTIN BLUFFS PKWY
Mailing Address - Street 2:PULPIT ROCK CHURCH
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-3922
Mailing Address - Country:US
Mailing Address - Phone:719-535-0969
Mailing Address - Fax:719-598-1168
Practice Address - Street 1:301 AUSTIN BLUFFS PKWY
Practice Address - Street 2:PULPIT ROCK CHURCH
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-3922
Practice Address - Country:US
Practice Address - Phone:719-535-0969
Practice Address - Fax:719-598-1168
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO 240106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist