Individual
DR. PRISCILLA D. HERNANDEZ HACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
828 S WASHINGTON ST STE A, MOSCOW, ID 83843-3055
(208) 883-7766
(208) 883-8062
Mailing address
828 S WASHINGTON ST STE A, MOSCOW, ID 83843-3055
(208) 883-7766
(208) 883-8062
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY202196
ID
103TC0700X
Clinical Psychologist
PY1696
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010149290
REGENCE BLUE SHIELD PIN
ID
01
—
380-319
DSHS PROVIDER NUMBER
WA
Enumeration date
05/30/2006
Last updated
05/20/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us