Individual
PATRICIA MARIE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
500 FEDERAL ST, SUITE 602, TROY, NY 12180-2832
(518) 272-7614
Mailing address
PO BOX 689, TROY, NY 12181-0689
(518) 268-5000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016635
NY
Other
Enumeration date
10/26/2007
Last updated
05/16/2008
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