Manuel Enrique Fernandez in Concord - Clinical

Manuel Enrique Fernandez - NPI 1558558676

Manuel Enrique Fernandez is a Clinical in Concord, California. Manuel Enrique Fernandez practices all healthcare services and medical treatments related to Clinical. The NPI Number for Manuel Enrique Fernandez is 1558558676. The last update date is 2020-08-21.

Manuel Enrique Fernandez's current location address is 1070 Concord Ave Ste 109, Concord, California. You can contact this provider via phone number 9258495349 and fax number 9252703382. The mailing address for Manuel Enrique Fernandez is 1070 Concord Ave Ste 109, Concord, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Manuel Enrique Fernandez
Address 1070 Concord Ave Ste 109, Concord, California
Phone Number 9258495349
Fax Number 9252703382
Sole Proprietor Y
Credentials PSYD, MSCP

NPI Number Detail

NPI Number 1558558676
Provider Enumeration Date 2007-10-02
Last Updated Date 2020-08-21

Provider Mailing Address Detail

Address 1070 Concord Ave Ste 109
City Concord
State California (CA)
Post Code 945205608
Phone Number 9258495349
Fax Number 9252703382

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY26787
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1750641189 CA NPI

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FAQs about Manuel Enrique Fernandez

What is the Manuel Enrique Fernandez's 1558558676?

The Manuel Enrique Fernandez's NPI (National Provider Identifier) Number is 1558558676. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Manuel Enrique Fernandez's physical address?

The Manuel Enrique Fernandez is physically located at 1070 Concord Ave Ste 109, in the city of Concord, CA, with the postal code 945205608.

What is the Manuel Enrique Fernandez's area of specialization and corresponding taxonomy classification?

The Manuel Enrique Fernandez's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.

On what date did Manuel Enrique Fernandez receive its 1558558676 assignment from the Centers for Medicare & Medicaid Services?

The Manuel Enrique Fernandez was assigned its 1558558676 on 2007-10-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Manuel Enrique Fernandez most recently updated or revised?

The details related to Manuel Enrique Fernandez, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-21.

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