National Provider Identifier
Diane Elaine Fernandez, MS, CRC LMHC
Diane Elaine Fernandez, MS, CRC LMHC is listed in the NPPES registry with a primary specialty of Case Management Agency in Gasport, NY and a listed phone number of (716) 998-1104.
Profile Overview
- NPI
- 1366592701
- Provider Type
- Individual
- Primary Specialty
- Case Management Agency
- Enumeration Date
- January 10, 2007
- Last Updated
- July 09, 2007
Practice Location
- 7857 Chestnut Ridge RD
- Gasport, NY 14067-9503
Phone: (716) 998-1104
Specialties
- Case Management Agency (251B00000X)
Full Record
- NPI
- 1366592701
- Entity Type
- Individual
- Last Name
- Fernandez
- First Name
- Diane
- Middle Name
- Elaine
- Name Prefix
- Mrs.
- Credential
- MS, CRC LMHC
- Mailing Street Address
- 7857 Chestnut Ridge RD
- Mailing City
- Gasport
- Mailing State
- NY
- Mailing ZIP Code
- 14067-9503
- Mailing Country
- US
- Mailing Phone
- (716) 998-1104
- Practice Street Address
- 7857 Chestnut Ridge RD
- Practice City
- Gasport
- Practice State
- NY
- Practice ZIP Code
- 14067-9503
- Practice Country
- US
- Practice Phone
- (716) 998-1104
- Enumeration Date
- January 10, 2007
- Last Updated
- July 09, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Management Agency (251B00000X)
- Other Identifiers
- 02368601 (NY)