Provider Demographics
NPI:1801283924
Name:FERNANDEZ, ROSA MARIA (MASTER DEGREES)
Entity type:Individual
Prefix:MRS
First Name:ROSA
Middle Name:MARIA
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:MASTER DEGREES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:939 MILLBRAE CT
Mailing Address - Street 2:UNIT 6
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-8464
Mailing Address - Country:US
Mailing Address - Phone:561-929-6797
Mailing Address - Fax:
Practice Address - Street 1:1639 FORUM PL
Practice Address - Street 2:SUITE NUMBER 7
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-2330
Practice Address - Country:US
Practice Address - Phone:561-712-8821
Practice Address - Fax:561-712-8070
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-16
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health