Individual
DR. JEAN MAURICE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
18 W GIBSON ST, HARTWELL, GA 30643-1846
(706) 376-5355
(706) 376-5355
Mailing address
18 W GIBSON ST, HARTWELL, GA 30643-1846
(706) 376-5355
(706) 376-5355
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2536
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00960198A
—
GA
Enumeration date
02/28/2007
Last updated
07/08/2007
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