Individual
SHEBA M FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP PHD
Contact information
Practice address
2345 ARIEL ST N, MAIL STOP 13601A, MAPLEWOOD, MN 55109-2248
(651) 254-4793
(651) 254-0877
Mailing address
8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-7961
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3834
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334513100
—
MN
Enumeration date
02/03/2006
Last updated
11/30/2018
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