Provider Demographics
NPI:1295961167
Name:FISCHENICH, DEBRA DAWN (AUD,CCC-A,FAAA,ABA)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:DAWN
Last Name:FISCHENICH
Suffix:
Gender:F
Credentials:AUD,CCC-A,FAAA,ABA
Other - Prefix:DR
Other - First Name:DEBRA
Other - Middle Name:DAWN
Other - Last Name:DAVILA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD,CCC-A,FAAA,ABA
Mailing Address - Street 1:5303 50TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79414-5823
Mailing Address - Country:US
Mailing Address - Phone:806-799-8950
Mailing Address - Fax:806-799-8939
Practice Address - Street 1:5303 50TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79414-5823
Practice Address - Country:US
Practice Address - Phone:806-799-8950
Practice Address - Fax:806-799-8939
Is Sole Proprietor?:No
Enumeration Date:2009-06-05
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM4556237600000X
TX80165237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter