Provider Demographics
NPI:1528814936
Name:FISHER, ZACHARY M (MCJ)
Entity type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:M
Last Name:FISHER
Suffix:
Gender:M
Credentials:MCJ
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 E BROAD ST STE 205
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1794
Mailing Address - Country:US
Mailing Address - Phone:908-894-3126
Mailing Address - Fax:
Practice Address - Street 1:116 E BROAD ST STE 205
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1794
Practice Address - Country:US
Practice Address - Phone:908-894-3126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor