Individual
MRS. PELESIA A FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
125 LEE BYRD RD, LOGANVILLE, GA 30052-2310
(914) 924-3768
Mailing address
2502 AMUR CT, LOGANVILLE, GA 30052-7451
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
010465
GA
235Z00000X
Speech-Language Pathologist
016211
NY
Other
Enumeration date
11/24/2008
Last updated
09/22/2020
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