Individual
MS. ANNE CHRISTIE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4250 PLYMOUTH RD, ANN ARBOR, MI 48109-2700
(734) 764-6443
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301016707
MI
103TC0700X
Clinical Psychologist
Primary
6301016707
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2012
Last updated
10/10/2016
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