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Individual
DR. MANUEL ENRIQUE FERNANDEZ
Active
Individual
DR. MANUEL ENRIQUE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, MSCP
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY26787
CA
103TP0016X
Prescribing (Medical) Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
PSY 26787
CA
282N00000X
General Acute Care Hospital
PSY 26787
CA
283Q00000X
Psychiatric Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750641189
NPI
CA
Enumeration date
10/02/2007
Last updated
08/21/2020
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