Healthcare Provider Details

I. General information

NPI: 1043442882
Provider Name (Legal Business Name): JULIE MARIE FERNANDEZ-KERNS PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2009
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 N IMPERIAL AVE
BRAWLEY CA
92227-1690
US

IV. Provider business mailing address

480 N IMPERIAL AVE
BRAWLEY CA
92227-1690
US

V. Phone/Fax

Practice location:
  • Phone: 760-312-6073
  • Fax:
Mailing address:
  • Phone: 760-312-6073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number3889833
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: