Individual
DR. RYAN M HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1650 COCHRANE CIR # B7500, FT CARSON, CO 80913-4613
(314) 569-4180
Mailing address
1650 COCHRANE CIR # B7500, FT CARSON, CO 80913-4613
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60944138
WA
Other
Enumeration date
09/07/2017
Last updated
02/23/2023
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