Provider Demographics
NPI:1427270628
Name:FIELDING, ERIC DANIEL POEY (PHD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:DANIEL POEY
Last Name:FIELDING
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:ERIC
Other - Middle Name:DANIEL
Other - Last Name:FIELDING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:9051 BALTIMORE NATIONAL PIKE
Mailing Address - Street 2:SUITE 4B
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-3927
Mailing Address - Country:US
Mailing Address - Phone:410-868-4143
Mailing Address - Fax:410-497-1119
Practice Address - Street 1:9051 BALTIMORE NATIONAL PIKE
Practice Address - Street 2:SUITE 4B
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-3927
Practice Address - Country:US
Practice Address - Phone:410-868-4143
Practice Address - Fax:410-497-1119
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04438103TC0700X
IL71007106103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1407137961OtherGROUP NPI- FIELDING PSYCHOLOGICAL ASSOCIATES