Individual
MARY ASTRID FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
12501 PROSPERITY DR STE 310, SILVER SPRING, MD 20904-1699
(240) 780-8884
Mailing address
12708 VALLEYWOOD DR, SILVER SPRING, MD 20906-4162
(240) 688-1624
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
06955
MD
Other
Enumeration date
12/25/2024
Last updated
12/25/2024
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