Provider Demographics
NPI:1255508180
Name:FIELD, LAUREN (MA)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:FIELD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5332 COLLEGE AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-2805
Mailing Address - Country:US
Mailing Address - Phone:510-658-2525
Mailing Address - Fax:
Practice Address - Street 1:5332 COLLEGE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-2805
Practice Address - Country:US
Practice Address - Phone:510-658-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC29025106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist