| NPI | 1194935593 |
|---|---|
| Former Legal Business Name | ELLIE FIELDS |
| Entity Type | Organization |
| Authorized Contact | ELLIE A. FIELDS Psychotherapist 402-505-7587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2014-04-11 |