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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396859310 | NPPES |
| Wisconsin | MEDICAID | 39147700 | |
| Wisconsin | MEDICAID | 0634280-00 |
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