Individual
DR. PATRICIA MARIE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
9832 N HAYDEN RD, SUITE 106, SCOTTSDALE, AZ 85258-1298
(623) 225-6235
Mailing address
22593 W SOLANO DR, BUCKEYE, AZ 85326-7842
(623) 225-6235
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC 10433
AZ
103T00000X
Psychologist
Primary
3867
AZ
103TA0400X
Addiction (Substance Use Disorder) Psychologist
LISAC-10433
AZ
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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