Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 003428 | CT |
N | 103T00000X | Psychologist | 003428 | CT |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 003428 | CT |
Y | 103G00000X | Clinical Psychologist | 003428 | CT |
Y | 103TC0700X | Clinical Psychologist | 003428 | CT |
NPI | 1063866192 |
---|---|
Provider Name | Dr. Stephanie A. Field |
First Address | Glastonbury, CT 06033-4246 |
Second Address | Glastonbury, CT 06033-4246 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2016 |
Last Update Date | 25/10/2016 |