Provider Demographics
NPI:1376279596
Name:FIELDS, ERYN (AUD)
Entity Type:Individual
Prefix:
First Name:ERYN
Middle Name:
Last Name:FIELDS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 BROKEN SOUND PKWY NW STE 120
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-3638
Mailing Address - Country:US
Mailing Address - Phone:561-367-1623
Mailing Address - Fax:561-299-5438
Practice Address - Street 1:8817 BELAIR RD STE 105
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-2445
Practice Address - Country:US
Practice Address - Phone:410-444-4420
Practice Address - Fax:561-299-5438
Is Sole Proprietor?:No
Enumeration Date:2022-07-29
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01611237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter