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NPI Code Detail

MEDICARE: MS. JENNIFER L FIELDMAN L.P.C

MEDICARE: MS. JENNIFER L FIELDMAN L.P.C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor10374NC

General Provider Information

NPI Number : 1801070503
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER L FIELDMAN L.P.C
Provider Business Mailing Address
First Line : 127 HILLSIDE ST
Second Line : UNIT B
City : ASHEVILLE
State : NC
Zip : 28801-1205
Country : US
Telephone Number : 773-297-9090
Fax Number :
Provider Business Practice Location Address
First Line : 383 MERRIMON AVE
Second Line : SUITE C
City : ASHEVILLE
State : NC
Zip : 28801-1223
Country : US
Telephone Number : 773-297-9090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2007
Last Update Date : 04/04/2014

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