Individual
SAMANTHA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11440 N KENDALL DR STE 109, MIAMI, FL 33176-1024
(305) 619-1035
Mailing address
8847 SW 12TH ST, MIAMI, FL 33174-3301
(786) 473-8634
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
—
FL
2355S0801X
Speech-Language Assistant
Primary
SI5352
FL
Other
Enumeration date
02/25/2020
Last updated
05/15/2023
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