Provider Demographics
NPI:1033534920
Name:DR ANDREW J FIELDS PHD INC
Entity Type:Organization
Organization Name:DR ANDREW J FIELDS PHD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:J
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:720-334-7169
Mailing Address - Street 1:7120 E ORCHARD RD STE 450
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1771
Mailing Address - Country:US
Mailing Address - Phone:720-334-7169
Mailing Address - Fax:
Practice Address - Street 1:7120 E ORCHARD RD STE 450
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-1771
Practice Address - Country:US
Practice Address - Phone:720-334-7169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-28
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3684103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty