Healthcare Provider Details

I. General information

NPI: 1598161424
Provider Name (Legal Business Name): MARIA DEL PILAR FERNANDEZ, PSY.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2014
Last Update Date: 11/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8525 SW 92ND ST STE B8
MIAMI FL
33156-7374
US

IV. Provider business mailing address

8525 SW 92ND ST STE B8
MIAMI FL
33156-7374
US

V. Phone/Fax

Practice location:
  • Phone: 305-596-9989
  • Fax: 305-598-0220
Mailing address:
  • Phone: 305-596-9989
  • Fax: 305-598-0220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY 8627
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberPY 8627
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License NumberPY 8627
License Number StateFL

VIII. Authorized Official

Name: DR. MARIA DEL PILAR FERNANDEZ
Title or Position: DOCTOR/CLINICAL PSYCHOLOGIST
Credential: PSY.D.
Phone: 305-596-9989