Organization
FIELDSTONE MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE BELANGER (PRESIDENT)
(330) 347-0800
Entity
Organization
Contact information
Practice address
1020 ASHWOOD DR, WOOSTER, OH 44691-2604
(330) 347-0800
Mailing address
1020 ASHWOOD DR, WOOSTER, OH 44691-2604
(330) 347-0800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6660
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089906
—
OH
05
—
0115683
—
OH
Enumeration date
07/16/2014
Last updated
05/20/2025
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