Most Relevant Information
Provider Data
| NPI Number: | 1003181538 |
| Provider Name: | CLARISSA FERNANDEZ M.S. CCC/SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 104617 |
Most Important Dates
| Enumeration Date: | 03/16/2012 |
| Last Updated: | 03/16/2012 |
Provider Practice Location
10609 IH 10 W
SUITE 201
SAN ANTONIO
TX
782301672
Practice Location Phone/Fax
| Phone: | 2103445437 |
| Fax: | 2103401259 |
Provider Mailing Location
10609 IH 10 W
SUITE 201
SAN ANTONIO
TX
782301672
Provider Mailing Phone/Fax
| Phone: | 2103445437 |
| Fax: | 2103401259 |