Fields, Marsha Jeanne

Fields, Marsha Jeanne is an individual health care provider with primary practice located at 1400 Madison Ave Suite 352, Mankato MN 56001-5473. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Fields, Marsha Jeanne can be contacted via phone (507) 625-1811.

Contact Information

Primary practice address
1400 Madison Ave Suite 352 Mankato MN 56001-5473
Phone: (507) 625-1811
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 2028 Arizona
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4328 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2514-057 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2028 Arizona
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 4328 Minnesota
Behavioral Health & Social Service Providers / Health Service 103TH0100X 4328 Minnesota
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 4328 Minnesota
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 4328 Minnesota

Profile Details

NPI number 1396859310
LBN Legal business name Fields, Marsha Jeanne
Credentials L. P.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Dec 15th, 2015 - about 9 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 1396859310 NPPES
Wisconsin MEDICAID 39147700
Wisconsin MEDICAID 0634280-00

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