Provider Demographics
NPI:1992959506
Name:FIELDS, DANELLE REBECCA (PHD)
Entity type:Individual
Prefix:
First Name:DANELLE
Middle Name:REBECCA
Last Name:FIELDS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:DANELLE
Other - Middle Name:REBECCA
Other - Last Name:ESHELMAN-FIELDS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:721 WALL ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-2942
Mailing Address - Country:US
Mailing Address - Phone:330-671-8008
Mailing Address - Fax:
Practice Address - Street 1:721 WALL ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-2942
Practice Address - Country:US
Practice Address - Phone:330-671-8008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-10
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7139103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist