MRS. JULIA GRACE FISHER ATR-BC
NPI 1912491069
Counselor - Professional in Dallas, TX
Active since June 20, 2018
About Mrs. Julia Grace Fisher Atr-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JULIA GRACE FISHER ATR-BC (NPI 1912491069) is an individual professional provider in Dallas, Texas, licensed in Pennsylvania (PC011302) and active in the NPI registry since June 2018.
NPPES Registry Identity
NPI1912491069
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. JULIA GRACE FISHERCredential: ATR-BC
Location Address6180 VANDERBILT AVEDallas, TX 75214-3332
Mailing Address6180 Vanderbilt AveDallas, TX 75214-3332 · (562) 896-8673
Phone(562) 896-8673
Sole ProprietorYes
Enumeration DateJune 20, 2018
Last NPPES UpdateJuly 20, 20212 updates tracked since enumeration
NPPES CertifiedJuly 20, 2021
✔ NPI 1912491069 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC011302
Also ListedArt TherapistTaxonomy 221700000X · License 17-264 (PA)
6180 VANDERBILT AVE, Dallas, TX 75214
Other Names 1
Former Name (1)Julia Wible
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912491069, enumerated as an "individual" on June 20, 2018.
The provider is located at 6180 VANDERBILT AVE DALLAS, TX 75214 and the phone number is (562) 896-8673.
Counselor with taxonomy code 101YP2500X and a focus in Professional.