Provider Demographics
NPI:1720332430
Name:FIELDER, CRYSTAL AUBREE (MSW)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:AUBREE
Last Name:FIELDER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:CRYSTAL
Other - Middle Name:AUBREE
Other - Last Name:BRUMLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1921 RANSOM PL
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-3841
Mailing Address - Country:US
Mailing Address - Phone:615-279-6700
Mailing Address - Fax:615-279-6702
Practice Address - Street 1:1921 RANSOM PL
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3841
Practice Address - Country:US
Practice Address - Phone:615-279-6700
Practice Address - Fax:615-279-6702
Is Sole Proprietor?:No
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health