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DR. MARSHA JEANNE FIELDS L. P.

Behavioral Health & Social Service Providers Clinical Neuropsychologist

Provider NPI: 1396859310

Provider Information:
DR. MARSHA JEANNE FIELDS L. P.
Gender: F
Not Sole Proprietor

Practice Location:
1400 MADISON AVE SUITE 352 MANKATO, MN 56001-5473 US
Tel: 507-625-1811  Fax: --

Business Mailing Address:
1230 E MAIN ST PO BOX 8674 MANKATO, MN 56001-5066 US
Tel: 507-625-1811  Fax: --

NPI Information:
NPI: 1396859310
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
AZ2028
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
MN4328
N103T00000XBehavioral Health & Social Service Providers
Psychologist
WI2514-057
N103T00000XBehavioral Health & Social Service Providers
Psychologist
AZ2028
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
MN4328
N103TH0100XBehavioral Health & Social Service Providers
Psychologist
MN4328
N103TP2701XBehavioral Health & Social Service Providers
Psychologist
MN4328
N103TR0400XBehavioral Health & Social Service Providers
Psychologist
MN4328

Other Provider Identifiers:

IssuerNumberStateType
0634280-00MN05
39147700WI05



American Medical Association 2012 taxonomy code information

Code: 103T00000X

Type:

Classification:



Definition:



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