Individual
DR. MICHELLE FERNANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(617) 419-8584
Mailing address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-3366
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS02255
RI
103TC0700X
Clinical Psychologist
PSY10001624
MA
Other
Enumeration date
01/09/2023
Last updated
10/14/2025
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