Individual
MARIA MARIBEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.CCC/SLP
Contact information
Practice address
4 BILLY DR, ARTESIA, NM 88210-9311
(432) 269-5476
Mailing address
4 BILLY DR, ARTESIA, NM 88210-9311
(432) 269-5476
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104118
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104118
STATE LICENSE NUMBER
TX
Enumeration date
02/16/2011
Last updated
04/21/2023
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