Stephanie Fernandez
Psychologist, Clinical in Woburn, MA. Individual provider (NPI-1).
NPI number1780130898
StatusActive
Last updated in NPPESAug 29, 2016
Details
- NPI
- 1780130898
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Fernandez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2016
- Last updated
- Aug 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 10400 | MA | Yes |
Practice location
12 Alfred StWoburn, MA 01801-1972
Phone 781-646-0500
Mailing address
106 Benedict RdMonroe, CT 06468-1200
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