Individual
ROSA MARIA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED. D
Contact information
Practice address
534 CLIFTON AVE, CLIFTON, NJ 07011-3230
(973) 777-6490
(973) 777-6491
Mailing address
534 CLIFTON AVE, CLIFTON, NJ 07011-3230
(973) 777-6490
(973) 777-6491
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00473300
NJ
103TC1900X
Counseling Psychologist
35SI00473300
NJ
Other
Enumeration date
07/19/2019
Last updated
09/27/2019
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