DR. GLEN STUART FISHER (NPI# 1023068707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023068707 |
| Entity Type | Individual |
| Full Name | DR. GLEN STUART FISHER |
| Credential | PSY.D. |
| Practice Address |
2504 S Chicago St Fairchild Afb WA 99011-8548 |
| Mailing Address |
701 Hospital Loop Fairchild Afb Fairchild Air Force Base WA 99011-8704 |
| Practice Telephone | 5092478938 |
| Mailing Telephone | 5092478938 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
958 | AL | Behavioral Health & Social Service Providers |
| Street Address |
2504 S CHICAGO ST |
| City | FAIRCHILD AFB |
| State | WA |
| Zip Code | 99011-8548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366672305 | Ryan Alan Foster | Military Health Care Provider | 2504 S Chicago St, Fairchild Afb, WA 99011-8548 | 2009-07-24 |
| 1679703060 | Paul M Montgomery | Military Health Care Provider | 2504 S Chicago St, Fairchild Afb, WA 99011-8548 | 2009-07-20 |
| 1477783876 | Gene J Sonnenburg Jr. | Military Health Care Provider | 2504 S Chicago St, Fairchild Afb, WA 99011-8548 | 2009-07-20 |
| 1285863043 | Wayne Dennis Johnson Jr. | Military Health Care Provider | 2504 S Chicago St, Fairchild Afb, WA 99011-8548 | 2009-07-14 |
| 1194953885 | Joseph Brian Noone | Military Health Care Provider | 2504 S Chicago St, Fairchild Afb, WA 99011-8548 | 2009-07-01 |
| 1841428109 | Claudio Alejandro Castillo | Military Health Care Provider | 2504 S Chicago St, Fairchild Afb, WA 99011-8548 | 2009-06-25 |
| 1306074513 | Robert Michael Siebenaler | Military Health Care Provider | 2504 S Chicago St, Fairchild Afb, WA 99011-8548 | 2009-06-25 |
| 1376777425 | Jeffrey Michael Tremel | Military Health Care Provider | 2504 S Chicago St, Building 1354, Fairchild Afb, WA 99011-8548 | 2009-05-05 |
| 1336383173 | Kerilyn Shigihara | Military Health Care Provider | 2504 S Chicago St, Fairchild Afb, WA 99011-8548 | 2009-04-23 |
| 1245473339 | Joseph David Brownell | Military Health Care Provider | 2504 S Chicago St, Fairchild Afb, WA 99011-8548 | 2009-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669939732 | Ruth Ann Sunde | Social Worker | 92d Medical Group/sgow, 701 Hospital Loop, Suite 259, Fairchild Afb, WA 99011 | 2019-02-26 |
| 1164992491 | Michael Thomas Stevens | Military Health Care Provider | 100 Hospital Loop, Fairchild Afb, WA 99011 | 2018-11-29 |
| 1174032569 | Elizabeth Andrews | Registered Nurse | 400 W Fairchild Highway, Fairchild Afb, WA 99011 | 2017-09-28 |
| 1770031171 | Mariah Combs | Behavioral Analyst | 5298 B Sycamore Street, Fairchild Afb, WA 99011 | 2016-09-14 |
| 1770960957 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 101 W. Spaatz Rd., Bldg 2465, Fairchild Afb, WA 99011 | 2015-04-27 |
| 1306191689 | Patricia Kaye Catrow | Family Medicine | 701 Hospital Loop Bldg 9000, Fairchild Afb, WA 99011 | 2012-07-23 |
| 1205102761 | 92nd Medical Group | Military/U.S. Coast Guard Pharmacy | 103 Saatz Rd, Fairchild Afb, WA 99011 | 2012-03-29 |
| 1992078554 | Alyssa Marie Degeyter | Community Health Worker | 7272 A Nebraska Ave, Fairchild Air Force Base, WA 99011 | 2012-02-13 |
| 1730317728 | Nicholas James Graham | Military Health Care Provider | 2504 S.chicago St, Fairchild Afb, WA 99011 | 2009-06-29 |
| 1922232099 | Pocco S Bussey | Military Health Care Provider | 92 Medical Group, Flight Medicine Clinic, Fairchild, WA 99011 | 2009-05-05 |
| Find all providers in zip 99011 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578583761 | Michelle Dawn Ambrose | Psychologist | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841442 | Jeanette Lee Chong | Psychologist | 2112 3rd Ave N Unit C, Seattle, WA 98109-2304 | 2020-11-04 |
| 1972103026 | River City Tms, Pllc | Psychologist | 400 S Jefferson St Ste 118, Spokane, WA 99204-3142 | 2020-10-28 |
| 1902411366 | Shanna Drinkwine | Psychologist | 1993 Governor Rd, Bellingham, WA 98229-3413 | 2020-09-12 |
| 1760097497 | Laetitia Geoffroy-dallery | Psychologist | 6425 S Cheyenne St, Tacoma, WA 98409-1633 | 2020-09-10 |
| 1487263711 | Tiffany Mohr | Psychologist | 927 College Ln Ne Unit B, Lacey, WA 98516-3740 | 2020-07-22 |
| 1265055172 | Dani Nierenberg Phd Bcb Pllc | Psychologist | 108 Se 124th Ave Ste 12, Vancouver, WA 98684-6015 | 2020-05-27 |
| 1295355923 | Douglas M Wear | Psychologist | 5802 16th Ave Ne, Seattle, WA 98105-2517 | 2020-04-22 |
| 1003435694 | Jared Newman Kilmer | Psychologist | 12025 115th Ave Ne Ste 215, Kirkland, WA 98034-6943 | 2020-04-13 |
| 1447887427 | Kitsap Peninsula Ocd & Anxiety Services Pllc | Psychologist | 9226 Bay Shore Dr Nw Ste 204, Silverdale, WA 98383-9196 | 2020-03-27 |
| 1790311157 | Ryan Mangum | Psychologist | 2009 F St, Vancouver, WA 98663-3345 | 2020-03-18 |
| Find all providers with the same taxonomy | ||||
| City | FAIRCHILD AFB |
| Zip Code | 99011 |
Please comment or provide details below to improve the information on DR. GLEN STUART FISHER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.