Individual provider · Type 1 NPI

Peter Russell Foster-Fishman, PSY.D.

Clinical Psychologist · Traverse City, MI

NPI number 1609820877 Active

Practice location

529 Fifth St
Traverse City, MI 49684-2407

Fax (517) 337-2715

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X6301009240 (MI)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1609820877

Peter Russell Foster-Fishman, PSY.D.'s National Provider Identifier is 1609820877, issued on May 20, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Traverse City, MI. The record was last updated on May 21, 2025.