Provider Demographics
NPI:1356551501
Name:FIELDS, ANIKA C (PHD)
Entity type:Individual
Prefix:DR
First Name:ANIKA
Middle Name:C
Last Name:FIELDS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 WESTMORELAND DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-2027
Mailing Address - Country:US
Mailing Address - Phone:850-510-4277
Mailing Address - Fax:850-562-6240
Practice Address - Street 1:2003 APALACHEE PKWY
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-4878
Practice Address - Country:US
Practice Address - Phone:850-510-4277
Practice Address - Fax:850-562-6240
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 5119103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical