| Doctor Name: | MS. SUZANNE MARIE FIELDS |
| NPI Number: | 1093790552 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | 3609673501 |
| Business Practice Address: | 2040 Murray Holladay Rd Suite 222 Holladay, UT - 841175185 |
| Business Phone Number: | 8018080244 |
| Business Fax Number: | 8012780489 |
| Mailing Address: | 1758 S 800 E, SALT LAKE CITY |
| State: | UT |
| Postal Code: | 841053102 |
| Phone Number: | 8018080244 |
| Fax Number: | 8012780489 |
| NPI Enumeration Date: | 12/07/2005 |
| NPI Last Update Date: | 05/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 3609673501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |