Individual
CECILIA N HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2712 WILLOW ST, AUSTIN, TX 78702-5634
(512) 900-1691
Mailing address
2712 WILLOW ST, AUSTIN, TX 78702-5634
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
71142
TX
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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