Individual
DR. JORDAN FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, SAN ANTONIO, TX 78236-5638
(314) 956-9412
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005212
VA
Other
Enumeration date
02/22/2011
Last updated
11/15/2019
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