Individual
DELIA DENISE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.T.
Contact information
Practice address
3303 N BROADWAY, LOS ANGELES, CA 90031-2803
(323) 478-8200
(323) 221-2022
Mailing address
3303 N BROADWAY, LOS ANGELES, CA 90031-2803
(323) 478-8200
(323) 221-2022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PT30094
CA
167G00000X
Licensed Psychiatric Technician
Primary
PT30094
CA
Other
Enumeration date
06/02/2008
Last updated
03/01/2021
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