Provider Demographics
NPI:1659091031
Name:FIELDS, ANNA C (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:C
Last Name:FIELDS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 GARDEN LAKE DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-5502
Mailing Address - Country:US
Mailing Address - Phone:121-641-1665
Mailing Address - Fax:
Practice Address - Street 1:3500 GARDEN LAKE DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-5502
Practice Address - Country:US
Practice Address - Phone:121-641-1665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18231235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist