Individual
DR. RAQUEL FERNANDEZ-EARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
315 ARMORY PL, SAULT SAINTE MARIE, MI 49783-2005
(906) 632-3373
Mailing address
P.O. BOX 883 315 ARMORY PLACE, SAULT SAINTE MARIE, MI 49783
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301012547
MI
103TS0200X
School Psychologist
Primary
6301012547
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A71030
BLUE CROSS BLUE SHIELD
MI
01
—
38337
UPPER PENINSULA HEALTH PL
MI
Enumeration date
07/14/2005
Last updated
07/29/2013
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