Provider Demographics
NPI:1821028317
Name:FIELDS, BARBARA (ED D)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:FIELDS
Suffix:
Gender:F
Credentials:ED D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8302 OLD YORK ROAD
Mailing Address - Street 2:SUITE B1
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1529
Mailing Address - Country:US
Mailing Address - Phone:215-885-6600
Mailing Address - Fax:215-885-6614
Practice Address - Street 1:8302 OLD YORK ROAD
Practice Address - Street 2:SUITE B1
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1529
Practice Address - Country:US
Practice Address - Phone:215-885-6600
Practice Address - Fax:215-885-6614
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA003411L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAFI1747537OtherHIGHMARK
PA0049401000OtherPERSONAL CHOICE
R06423Medicare UPIN
PA0049401000OtherPERSONAL CHOICE