Polly Frances Fields, LMFT
Individual provider Active NPI Marriage & Family Therapist · Buckley, WA
NPI 1831497833 · NPPES record last updated Mar 1, 2011
Key facts
- NPI
- 1831497833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LF00001313 (WA)
- Practice address
- 23711 Entwhistle Rd E
Buckley, WA 98321-8485 - Phone
- (253) 862-2163
- Fax
- (253) 862-7527
- NPI assigned
- Mar 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF00001313 | WA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF00001313 | WA | Yes |
Addresses
Primary practice location
23711 Entwhistle Rd E
Buckley, WA 98321-8485
Mailing address
23711 Entwhistle Rd E
Buckley, WA 98321-8485
Phone (253) 862-2163
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600179-119 | Other | WA | UBI |
Other providers in Buckley, WA
- Tyler Drew Delmonte
- Danette Louise Delo
- Judy Ann Desoto
- Joanne Elizabeth Earle
- Christina Entrop
- Courtney C Forthuber
- Blake Benjamin Galaviz
- Theresa J Gallagher
- Genesis Medical Transportation, LLC
- Yvonne Glass-Singer
All providers in Buckley, WA · Marriage & Family Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.