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Individual

BENJAMIN W FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
5675 VENTURE DR, DUBLIN, OH 43017-2159
(614) 355-9580
(614) 355-9589
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
P.7050
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0121162
OH
Enumeration date
11/08/2008
Last updated
04/10/2025
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