Provider Demographics
NPI:1548504061
Name:DEBORAH DIAMOND FISCH, PSYD, LLC
Entity type:Organization
Organization Name:DEBORAH DIAMOND FISCH, PSYD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:DIAMOND
Authorized Official - Last Name:FISCH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:973-539-1008
Mailing Address - Street 1:20 COMMUNITY PL
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7500
Mailing Address - Country:US
Mailing Address - Phone:973-539-1008
Mailing Address - Fax:
Practice Address - Street 1:20 COMMUNITY PL
Practice Address - Street 2:4TH FLOOR
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7500
Practice Address - Country:US
Practice Address - Phone:973-539-1008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-21
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty