Individual
LISSETTE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N DOUGLAS ST, EL SEGUNDO, CA 90245-4637
(310) 725-5800
Mailing address
14919 KINGSDALE AVE, LAWNDALE, CA 90260-1405
(310) 400-9587
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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