Individual
MR. BRIAN FREDERICK FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
52 DORE ST, SAN FRANCISCO, CA 94103
(415) 553-3100
Mailing address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828
(415) 861-0257
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36782
CA
Other
Enumeration date
08/27/2012
Last updated
06/04/2018
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