Provider Demographics
NPI:1023879178
Name:FIELDS PSYCHOLOGICAL LLC
Entity type:Organization
Organization Name:FIELDS PSYCHOLOGICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:330-671-8008
Mailing Address - Street 1:PO BOX 4925
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-0925
Mailing Address - Country:US
Mailing Address - Phone:330-671-8008
Mailing Address - Fax:234-678-4871
Practice Address - Street 1:721 WALL ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-2942
Practice Address - Country:US
Practice Address - Phone:330-671-8008
Practice Address - Fax:234-678-4871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty