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Individual

MELISSA FERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SCHOOL PSY

Contact information

Practice address
256 E RALSTON AVE, SAN BERNARDINO, CA 92404-1628
(626) 372-9485
Mailing address
256 E RALSTON AVE, SAN BERNARDINO, CA 92404-1628
(626) 372-9485

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
10156205
AR
103TS0200X
School Psychologist
Primary
210076076
CA

Other

Enumeration date
09/12/2021
Last updated
09/12/2021
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