Provider Demographics
NPI:1699924902
Name:FIELDS, ADRIANNA ESTELL (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ADRIANNA
Middle Name:ESTELL
Last Name:FIELDS
Suffix:
Gender:F
Credentials:MS CCC-SLP
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 643
Mailing Address - Street 2:
Mailing Address - City:GROOM
Mailing Address - State:TX
Mailing Address - Zip Code:79039-0643
Mailing Address - Country:US
Mailing Address - Phone:806-626-8933
Mailing Address - Fax:
Practice Address - Street 1:1233 N HOBART ST
Practice Address - Street 2:
Practice Address - City:PAMPA
Practice Address - State:TX
Practice Address - Zip Code:79065-4605
Practice Address - Country:US
Practice Address - Phone:806-669-4700
Practice Address - Fax:806-677-5225
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102873235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist