Individual
PETER FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6100
Mailing address
1008 JAN ELLYN LN, EL PASO, TX 79912-7627
(915) 777-2704
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
24008
TX
103TC0700X
Clinical Psychologist
Primary
24008
TX
Other
Enumeration date
11/21/2006
Last updated
03/17/2018
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