Individual
LORENA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10240 N 31ST AVE STE 126, PHOENIX, AZ 85051-9599
(602) 635-3860
Mailing address
10240 N 31ST AVE STE 126, PHOENIX, AZ 85051-9599
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
—
—
2355S0801X
Speech-Language Assistant
Primary
SLPA15314
AZ
Other
Enumeration date
03/26/2021
Last updated
06/20/2024
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