Individual
DR. LYDIA MARIE JOSEPH-HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2010 ZONAL, 3-P-61, LOS ANGELES, CA 90033
(323) 226-6767
(323) 226-3902
Mailing address
8617 WORTHINGTON DR., SAN GABRIEL, CA 91775
(626) 327-6327
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY19896
CA
103TC0700X
Clinical Psychologist
PSY 19896
CA
106H00000X
Marriage & Family Therapist
MFC 31916
CA
Other
Enumeration date
03/08/2007
Last updated
12/04/2009
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