| Doctor Name: | MS. DELLA FERNANDES |
| NPI Number: | 1043432784 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICENSED MFT |
| License Number: | IMF52312 |
| Business Practice Address: | 1204 Burlingame Ave Ste 5 Burlingame, CA - 940104139 |
| Business Phone Number: | 9253656968 |
| Business Fax Number: | |
| Mailing Address: | 405 Primrose Rd Ste 209, BURLINGAME |
| State: | CA |
| Postal Code: | 940104091 |
| Phone Number: | 6504903120 |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 09/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | IMF52312 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |