Fernandez, Laetitia B

Fernandez, Laetitia B is an sole proprietor health care provider with primary practice located at 1945 22Nd Ave , Vero Beach FL 32960-3083. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Fernandez, Laetitia B can be contacted via phone (772) 257-5264.

Contact Information

Primary practice address
1945 22Nd Ave Vero Beach FL 32960-3083
Phone: (772) 257-5264
Fax: (772) 257-5265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH9028 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1255648382
LBN Legal business name Fernandez, Laetitia B
Credentials MS PSY
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2010
Last updated Jul 26th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255648382 NPPES
Florida MEDICAID 002649800

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