MS. BEVERLY FERNANDEZ PSY. M CCBT CCTS-I NPI 1174025563

NPI Information

NPI: 1174025563
Provider Name: MS. BEVERLY FERNANDEZ, PSY. M, CCBT, CCTS-I
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
55 BROOK ST
WOODBRIDGE, NJ
ZIP 07095
Phone: (678) 462-5274
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MS. Beverly Fernandez, PSY. M, CCBT, CCTS-I is a mental health counselor in Woodbridge, NJ. MS. Beverly Fernandez, PSY. M, CCBT, CCTS-I NPI is 1174025563. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 BROOK ST
WOODBRIDGE, NJ
ZIP 07095-946
Phone: (678) 462-5274

The enumeration date for this NPI number is 3/1/2018 and was last updated on 4/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health				No
2	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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