Individual
AMBER HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Contact information
Practice address
4320 BELL SHOALS RD, VALRICO, FL 33596-7171
(813) 643-1389
Mailing address
12316 STREAMBED DR, RIVERVIEW, FL 33579-9305
(321) 439-2576
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
200246
AR
235Z00000X
Speech-Language Pathologist
Primary
SA12292
FL
Other
Enumeration date
05/21/2012
Last updated
03/17/2021
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