Individual
DR. NICOLE CHRISTINE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
210 S RANDOLPH ST, MACOMB, IL 61455-3828
(734) 673-1672
Mailing address
615 W HAMILTON ST, RUSHVILLE, IL 62681-1371
(734) 673-1672
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008971
IL
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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