Individual
DR. RAQUEL FERNANDEZ-EARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
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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