Fernandez, Stella J

Fernandez, Stella J is an sole proprietor health care provider with primary practice located at 1942 Nw Copper Oaks Cir , Blue Springs MO 64015-8300. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Fernandez, Stella J can be contacted via phone (816) 224-4400.

Contact Information

Primary practice address
1942 Nw Copper Oaks Cir Blue Springs MO 64015-8300
Phone: (816) 224-4400
Fax: (816) 368-9284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2009006660 Missouri
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2141 Kansas

Profile Details

NPI number 1174754055
LBN Legal business name Fernandez, Stella J
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2009
Last updated Mar 29th, 2017 - 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 1174754055 NPPES
Kansas MEDICAID 200671980A

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