Fernandez, Sheba M

Fernandez, Sheba M is an individual health care provider with primary practice located at 2345 Ariel St N Mail Stop 13601A, Maplewood MN 55109-2248. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Fernandez, Sheba M can be contacted via phone (651) 254-4793.

Contact Information

Primary practice address
2345 Ariel St N Mail Stop 13601A Maplewood MN 55109-2248
Phone: (651) 254-4793
Fax: (651) 254-0877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3834 Minnesota

Profile Details

NPI number 1205808219
LBN Legal business name Fernandez, Sheba M
Credentials LP PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Nov 30th, 2018 - about 7 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 1205808219 NPPES
Minnesota MEDICAID 334513100

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