Fernandez, Mary Jo Frances

Fernandez, Mary Jo Frances is an sole proprietor health care provider with primary practice located at 1135 Nw 23Rd Ave Suite G, Gainesville FL 32609-5415. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Fernandez, Mary Jo Frances can be contacted via phone (781) 710-6539.

Contact Information

Primary practice address
1135 Nw 23Rd Ave Suite G Gainesville FL 32609-5415
Phone: (781) 710-6539
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 7249 Massachusetts
Behavioral Health & Social Service Providers / Counseling 103TC1900X PY 9485 Florida

Profile Details

NPI number 1932139425
LBN Legal business name Fernandez, Mary Jo Frances
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Jul 21st, 2016 - about 9 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 1932139425 NPPES
Other 401761 TUFTS
Other W05960 TUFTS
MEDICAID 0501417 TUFTS

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