Brent D Fisk, PSYD

NPI #1124418561 in Newberg, Oregon

Provider Information

NPI Number: 1124418561
Entity Type: Individual
Name: Brent D Fisk, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSYD
Enumeration Date: Jan 23, 2015
Last Updated: Oct 6, 2020

Practice Location

Address: 1003 PROVIDENCE DR STE 110
City: Newberg
State: Oregon
ZIP Code: 97132-7521
Phone: (503) 537-5900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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