Individual
DR. MARIELLY HERNANDEZ FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
CARR. PR-54 INT.RAMAL 7711, BO. POZO HONDO, GUAYAMA, PR 00784
(787) 246-2827
Mailing address
PO BOX 3372, GUAYAMA, PR 00785-3372
(787) 246-2827
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6793
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4519251
DRIVER LICENSE
PR
Enumeration date
04/22/2021
Last updated
04/01/2023
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