Provider Demographics
NPI:1104803667
Name:FIELD, LUCY F (PHD HSPP)
Entity type:Individual
Prefix:DR
First Name:LUCY
Middle Name:F
Last Name:FIELD
Suffix:
Gender:F
Credentials:PHD HSPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 136
Mailing Address - Street 2:
Mailing Address - City:GREENCASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:46135-0136
Mailing Address - Country:US
Mailing Address - Phone:765-653-2710
Mailing Address - Fax:765-653-2710
Practice Address - Street 1:1145 INDIANAPOLIS RD
Practice Address - Street 2:
Practice Address - City:GREENCASTLE
Practice Address - State:IN
Practice Address - Zip Code:46135
Practice Address - Country:US
Practice Address - Phone:765-653-2710
Practice Address - Fax:765-653-2710
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20040528A103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN11095000OtherMAGELLAN
IN000000196412OtherANTHEM
IN11095000OtherMAGELLAN