Provider Demographics
NPI:1891814570
Name:RAMNATH-FERNANDEZ, ROWENA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ROWENA
Middle Name:
Last Name:RAMNATH-FERNANDEZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 JACARANDA COUNTRY CLUB DR
Mailing Address - Street 2:APT 101
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2593
Mailing Address - Country:US
Mailing Address - Phone:954-473-4504
Mailing Address - Fax:
Practice Address - Street 1:300 S PINE ISLAND RD
Practice Address - Street 2:SUITE 227
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2673
Practice Address - Country:US
Practice Address - Phone:305-215-2011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7174103TC0700X, 103T00000X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy