Provider Demographics
NPI:1245396993
Name:FIELDS, CLAIRE DEWITT (EDD)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:DEWITT
Last Name:FIELDS
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:778 SIERRA VIEW WAY
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-4047
Mailing Address - Country:US
Mailing Address - Phone:530-345-4411
Mailing Address - Fax:
Practice Address - Street 1:15 JAN CT
Practice Address - Street 2:SUITE 110
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-4418
Practice Address - Country:US
Practice Address - Phone:530-891-4225
Practice Address - Fax:530-891-4275
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17878103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP65504Medicare UPIN
0PL178780Medicare ID - Type Unspecified