Individual
MARLENE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 GROVE PARK CIR, BOYNTON BEACH, FL 33436-9437
(561) 801-0803
Mailing address
1055 GROVE PARK CIR, BOYNTON BEACH, FL 33436-9437
(561) 801-0803
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS1063
FL
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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