Provider Demographics
NPI:1831535459
Name:FIELD, CRAIG (PHD, MPH)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:
Last Name:FIELD
Suffix:
Gender:M
Credentials:PHD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 PALO ALTO WAY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732-2453
Mailing Address - Country:US
Mailing Address - Phone:512-968-5880
Mailing Address - Fax:
Practice Address - Street 1:325 PALO ALTO WAY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78732-2453
Practice Address - Country:US
Practice Address - Phone:512-968-5880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31272103TA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)