Laetitia B Fernandez, MS PSY

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

1945 22ND Ave
Vero Beach, FL 32960-3083

Phone

(772) 257-5264

Fax

(772) 257-5265

NPI assigned

Sep 10, 2010

Last updated

Jul 26, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1255648382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 22ND AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603083",
            "telephone_number": "772-257-5264",
            "fax_number": "772-257-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 22ND AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603083",
            "telephone_number": "772-257-5264",
            "fax_number": "772-257-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "LAETITIA",
        "middle_name": "B",
        "credential": "MS PSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH9028",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002649800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dian Feng, M.D., PH.D.
• Martha Elizabeth Fenimore, L.C.S.W.
• Kathleen Fennell, OTR L, CHT
• Jacob Ferguson, BS
• Geralyn Fernandez, R.T.(R)(MR)
• Lisset Fernandez, DMD
• Fernando G Miranda MD
• Irene M Ferraiuolo, RBT
• Peter Ferrell, LMHC
• Doris A Ferres, DMD

• Developmental Therapist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.