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Individual

DR. MARSHA JEANNE FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L. P.

Contact information

Practice address
1400 MADISON AVE, SUITE 352, MANKATO, MN 56001-5473
(507) 625-1811
Mailing address
1230 E MAIN ST, PO BOX 8674, MANKATO, MN 56001-5066
(507) 625-1811

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2028
AZ
103T00000X
Psychologist
2028
AZ
103T00000X
Psychologist
2514-057
WI
103T00000X
Psychologist
Primary
4328
MN
103TC2200X
Clinical Child & Adolescent Psychologist
4328
MN
103TH0100X
Health Service Psychologist
4328
MN
103TP2701X
Group Psychotherapy Psychologist
4328
MN
103TR0400X
Rehabilitation Psychologist
4328
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0634280-00
MN
05
39147700
WI
Enumeration date
08/18/2006
Last updated
12/15/2015
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