Individual
ANTHONY MICHAEL FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
10320 DURANT RD STE 109, RALEIGH, NC 27614-6466
(919) 234-7770
(855) 978-2208
Mailing address
5117 TWELVEPOLE DR, RALEIGH, NC 27616-5877
(786) 512-3113
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30003672
NC
235Z00000X
Speech-Language Pathologist
SA18656
FL
Other
Enumeration date
01/26/2018
Last updated
09/29/2025
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