Individual
DR. STELLA J FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1942 NW COPPER OAKS CIR, BLUE SPRINGS, MO 64015-8300
(816) 224-4400
(816) 368-9284
Mailing address
1942 NW COPPER OAKS CIR, BLUE SPRINGS, MO 64015-8300
(818) 224-4400
(816) 368-9284
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2009006660
MO
103T00000X
Psychologist
Primary
2141
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200671980A
—
KS
Enumeration date
07/27/2009
Last updated
03/29/2017
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