Individual
DR. RICHARD ELIAS FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
223 EAST FLAGLER ST, SUITE 432, MIAMI, FL 33131
(305) 397-9094
(786) 220-7397
Mailing address
223 EAST FLAGLER ST, SUITE 432, MIAMI, FL 33131
(305) 397-9094
(786) 220-7397
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
FL PY 7672
FL
103T00000X
Psychologist
PY 7672
FL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PY 7672
FL
103TA0700X
Adult Development & Aging Psychologist
PY 7672
FL
103TC0700X
Clinical Psychologist
Primary
FL PY 7672
FL
103TC1900X
Counseling Psychologist
PY 7672
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY 7672
FL
103TF0200X
Forensic Psychologist
PY 7672
FL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PY 7672
FL
Other
Enumeration date
11/19/2007
Last updated
02/01/2012
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