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General NPI Number Information
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NPI Number | 1730596206
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Entity Type | Organization
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Legal Business Name | FIELDSTONE MENTAL HEALTH LLC
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Dates
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Enumeration Date | 07/16/2014
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 1020 ASHWOOD DR
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City | WOOSTER
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State | OH
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Zip | 44691-2604
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Country | US
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Telephone | 330-347-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 ASHWOOD DR
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City | WOOSTER
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State | OH
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Zip | 44691-2604
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Country | US
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Telephone | 330-347-0800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JACQUELINE BELANGER
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Credential |
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Telephone | 330-347-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6660
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License Number State | OH
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