Fields, Laurie

Fields, Laurie is an individual health care provider with primary practice located at 2727 Mariposa St Suite 100, San Francisco CA 94110-1472. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Fields, Laurie can be contacted via phone (415) 437-3037.

Contact Information

Primary practice address
2727 Mariposa St Suite 100 San Francisco CA 94110-1472
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PL16952 California

Profile Details

NPI number 1386628485
LBN Legal business name Fields, Laurie
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Sep 24th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386628485 NPPES
California MEDICAID 00PL169520

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