DOREATHA JACKSON FIELDS ED.D NPI 1528565116

NPI Information

Doreatha Jackson Fields, ED.D is a counselor in Melbourne, FL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Doreatha Jackson Fields, ED.D NPI is 1528565116. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1409 HOAG AVE
MELBOURNE, FL
ZIP 32901-311
Phone: (321) 821-7477

The enumeration date for this NPI number is 4/10/2018 and was last updated on 4/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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