Individual
ERIN M FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 AIRPORT ROA, PREFERRED BEHAVIORAL HEALTH OF NJ, INC., LAKEWOOD, NJ 08701
(732) 367-4700
(732) 364-2253
Mailing address
700 AIRPORT ROA, PREFERRED BEHAVIORAL HEALTH OF NJ, INC., LAKEWOOD, NJ 08701
(732) 367-4700
(732) 364-2253
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05575300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
01
—
526788
GROUP MEDICARE NUMBER
NJ
Enumeration date
10/15/2009
Last updated
09/24/2018
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