Individual
DR. IVETTE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD.
Contact information
Practice address
CENTRO DE DETENCION DE SALINAS, BO. SAN FELIPE, SALINAS, PR 00751
(787) 853-2444
Mailing address
PMB 1149, P.O. BOX 6400, CAYEY, PR 00737
(787) 312-8702
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
998
PR
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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