Individual
JANICE IRENE FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEVELOPMENTAL INTERV
Contact information
Practice address
126 BLACK HAWK RD, HAPPY, KY 41746-9053
(606) 476-9659
(606) 476-9730
Mailing address
126 BLACK HAWK RD, HAPPY, KY 41746-9053
(606) 476-9659
(606) 476-9730
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1847
FIRST STEPS PROVIDER #
KY
Enumeration date
04/14/2007
Last updated
07/08/2007
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